bone, skin and soft tissue infections

Question 1

what is osteomyelitis?

Answer 1

inflammation of the bone marrow and surrounding bone associated with infection

Question 2

osteomyelitis commonly caused by

Answer 2

staphylococcus aureus

Question 3

duration of disease have 2 which is

Answer 3

acute and chronic

Question 4

symptom less than 1 week

Answer 4

acute

Question 5

symptom greater than 1 month or relapse

Answer 5

chronic

Question 6

risk factor of hematogenous spread

Answer 6

bacteremia (IV catheters, IVDU, URTI)
sickle cell anemia

Question 7

gold standard diagnosis

Answer 7

bone biopsy/ aspiration

Question 8

sign and symptoms

Answer 8

fever
pain and tenderness in affected area
generalized malaise
difficulty moving joints near the affected area

Question 9

treatment for chronic osteomyelitis

Answer 9

antimicrobial therapy and surgical intervention

Question 10

monitoring parameter osteomyelitis

Answer 10

adverse drug reaction
potential drug-drug interaction
adherence to outpatient therapy (oral antibiotics )
sign of inflammation, swelling, pain

Question 11

ssti is

Answer 11

skin and soft tissue infection

Question 12

ssti result from a

Answer 12

compromises of the skin’s defenses and microbial invasion

Question 13

risk factor ssti

Answer 13

asplenia
older age
obesity
water exposure
human / animal bites
lymphedema
peripheral neuropathy

Question 14

general sign and symptom ssti

Answer 14

erythema
swelling
pain
tender on palpitation
fever

Question 15

folliculitis is ..

Answer 15

inflammation of the hair follicles

Question 16

impetigo is ….

Answer 16

superficial skin infection that is seen most commonly in children

Question 17

cellulitis is…

Answer 17

spreading infection of the skin extending to the deeper tissues involving subcutaneous tissue

Question 18

symptom of cellulitis

Answer 18

fever
chills
malaise
complain that the affected area feels hot and painful
hypotension
dehydration
altered mental status are common

Question 19

signs of cellulitis

Answer 19

erythema and edema of the skin
affected area generally warm to touch
lesion are non elevated and poorly defined margins
tender lymphadenopathy associated with lymphatic involvement is common

Question 20

mild cellulitis typically localized to a

Answer 20

small area of the skin, no fever, no significant pain

Question 21

moderate cellulitis typically required aggressive treatment such as

Answer 21

intravenous antibiotics

Question 22

involves larger area of skin and deeper tissue involvement with more pronounced inflammation and systemic symptom

Answer 22

moderate cellulitis

Question 23

common organisms for mild, moderate, severe cellulitis

Answer 23

staphylococcus aureus
streptococcous pyogenes

Question 24

preferred treatment for mild cellulitis

Answer 24

cephalexin 1-2gm IV q6h

Question 25

preferred treatment for moderate cellulitis

Answer 25

cloxacillin 1-2 gm IV q6h

Question 26

sign and symptom of diabetic foot infection

Answer 26

warmth pain tenderness swelling erythema tissue granulation

Question 27

risk factor of diabetic foot infection

Answer 27

neuropathy poor glycemic control peripheral vascular disease

Question 28

treatment goals for diabetic foot infection

Answer 28

resolve infection relieve symptom prevent recurrence prevent complication

Question 29

preferred treatment for diabetic foot infection

Answer 29

amoxicillin / clavunate 625 mg PO q8h or ampicillin/sulbactam 375 -750mg PO q12h

Question 30

preferred treatment for moderate infection for diabetic foot infection

Answer 30

ampicillin/sulbactam 3gm IV q6-8h

Question 31

alternative treatment for severe infection for foot diabetic infection

Answer 31

cefepime 3gm IV q8h plus metronidazole 500mg IV q8h