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8 Cards in this Set
- Front
- Back
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What are the most common organisms in the upper GI tract? |
Upper GI Tract: Gram Positive Cocci (streptococcus, lactobacillus Mid-distal small bowel: Gram Negative aerobes and Facultative Anerobes, still some gram + cocci Colon: Obligate Anaerobes |
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What are the most common organisms in the mid-distal small bowel? |
Upper GI Tract: Gram Positive Cocci (streptococcus, lactobacillus Mid-distal small bowel: Gram Negative aerobes and Facultative Anerobes, still some gram + cocciColon: Obligate Anaerobes |
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What are the most common organisms in the colon? |
Upper GI Tract: Gram Positive Cocci (streptococcus, lactobacillusMid-distal small bowel: Gram Negative aerobes and Facultative Anerobes, still some gram + cocci Colon: Obligate Anaerobes |
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What organisms must you consider in intra-abdominal abscess in someone who's been recently hospitalized or on antibiotics? |
enterobacteriaceae Pseudomonas Yeast |
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What's the difference between a silicone and latex or rubber drain? |
Silicone: Will not form reative, granulated tractSometimes want to use rubber or latex to induce inflammation and close a tract on it’s way out |
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What are some situations where you may consider using a latex or rubber drain? |
Duodenal stump blowouts Distal pancreas leaks Pancreatico-intestinal leaks Place a drain, considering latex or red rubber to create inflammatory reaction that will help “scar over” area. |
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What are your indications for anti-fungals with intra-abdominal infection? |
1) Esophageal Perforation 2) Immunosuppression 3) Prolonged antacid or antibiotic exposure 4) Prolonged Hospitalizations 5) Prolonged Leak |
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In an OTHERWISE HEALTHY PERSON, how long will you treat a perforation with antibiotics after source control? |
24-48 hours everywhere, if within 12 hours of insult (w/in 24 hours for stomach) No longer than 4-7 days if it has been a prolonged course (like trying to wait out diverticulitis |
