absite infxn
Help!
|
|
||||
|---|---|---|---|---|---|
| what pathogens are in stomach? How many? | virtually sterile, some GPC and yeast
🗑
|
||||
| what pathogens are in sm bowel? How many? | 10^5, mostly GPCs
🗑
|
||||
| what pathogens are in distal sm bowel? How many? | 10^7, GPCs, GPR, GPCs
🗑
|
||||
| what pathogens are in colon? How many? | 10^11, almost all anaerobes, some GNRs, GPCs
🗑
|
||||
| MC anaerobe GI | Bacteroides fragilis
🗑
|
||||
| MC aerobe in GI | e coli
🗑
|
||||
| MC GN sepsis | E coli
🗑
|
||||
| name toxins in E coli sepsis | Endotoxin lipopolysacc lipid A released, triggers TNF from macrophages->complement and coag cascade
🗑
|
||||
| what happens to blood glucose before/during sepsis | incrsd, at first due to impaired utilization, then due to insulin resistance
🗑
|
||||
| when do abscesses appear | 7-10 d s/p surgery
🗑
|
||||
| types of bac in abscesses | all have anaerobe, 80% have aerobes
🗑
|
||||
| tx abscess | drainage, but add Abx if DM, cellulitis, bioprosthetic implants, s/s sepsis, F, WBC
🗑
|
||||
| rate of wound infxn clean surgery, ex | hernia, 2%
🗑
|
||||
| rate of wound infxn clean contaminated, ex | elective colon resxn w prep, 5%
🗑
|
||||
| rate of wound infxn contaminated surgery, ex | gun shot bowel, 5-10%
🗑
|
||||
| rate of wound infxn grossly contaminated surgery, ex | abscess, 30%
🗑
|
||||
| MC organism in surgical wound | S aureus
🗑
|
||||
| MC GNR in surgical wound infxn | E Coli
🗑
|
||||
| MC non surgical infxn s/p surgery | UTI
🗑
|
||||
| 3 MC organism line infxn | Staph Epi, #2 S aureus, #3 yeast
🗑
|
||||
| how many CFU mean line infxn | 15
🗑
|
||||
| when can necrotizing fascitis appear | within hrs s/p surgery
🗑
|
||||
| MC causes nec fascitis | Grp A strep (Strep Pyo), C perfringens
🗑
|
||||
| what 3 grps at risk for nec fasc | DM, immunocomp, poor blood supply
🗑
|
||||
| what lab work see in nec fascitis | WBC>20, hypoNa
🗑
|
||||
| key findings physical exam nec fascitis | thin gray drainage, edema, skin blistering/sloughing, crepitus/soft tissue gas,
🗑
|
||||
| tx nec fascitis | debridement and PCN
🗑
|
||||
| what's fournier's gangrene, what pts get it, and what organisms | perineal and scrotal area in DM and immunocompromised. Mixed organisms
🗑
|
||||
| is nocardia a fungus? Tx? | no, bactrim
🗑
|
||||
| where is histo found? Cocci? Tx? | histo in Mississippi and Ohio river valleys, tx both amph for severe infxn
🗑
|
||||
| tx candida | flucanazole, amph for severe
🗑
|
||||
| where does cryptococc infect? Tx? | neuro (meningitis), amph for severe [remember cryptospor is parasite causing diarrhea]
🗑
|
||||
| diagnosis for SBP | 500PMN/cc (another place says 250); note cx often negative
🗑
|
||||
| if monobac what SBP 2 org MC? | E Coli, Strep
🗑
|
||||
| tx SBP | ceftriax
🗑
|
||||
| ppx SBP | fluoroquin
🗑
|
||||
| if SBP not improving on Abx, then | think intrabd source, ie perf diverticular abscess
🗑
|
||||
| what's 2ry SBP, organisms | intrabd source (transmucosal migration, perf as opposed to decrsd host defense); polymicrob (B Fragilis, E Coli, Enterococc)
🗑
|
||||
| risk HIV transmission if + blood transfusion? + mother? Needle stick? | 70%, 30%, 0.3%
🗑
|
||||
| what give for HIV exposure and when | AZT, lamivudine 1-2 hrs
🗑
|
||||
| seroconversion in HIV | 6-12wks
🗑
|
||||
| MC cause GI complaints HIV | CMV colitis
🗑
|
||||
| where does lymphoma appear in HIV, MC type and tx | stomach, B cell NHL, tx w chemo
🗑
|
||||
| is upper or lower GI bldg more common in HIV | lower
🗑
|
||||
| MC 2 causes upper GI bleeding in HIV | Kaposi, lymphoma
🗑
|
||||
| MC 3 causes lower GI bleeding hiV | CMV, bac, HSV
🗑
|
||||
| how commonly does HepC become chronic | 60%
🗑
|
||||
| how often does cirrhosis develop in hep C over how long; what can help prevent that | 15% over 20yrs; IFN
🗑
|
||||
| how often HCC in HepC | 1-5%
🗑
|
||||
| tx for brown recluse spider bite | dapsone
🗑
|
||||
| 3 MC organisms septic joint | Gono, Staph, H Flu
🗑
|
||||
| empiric tx septic joint until cx | Cephalo and vanc until cx
🗑
|
||||
| organisms in DM foot infxns | mixed: staph, strep, GNR, anaerobe
🗑
|
||||
| tx DM foot infxn | Unasyn, Zosyn
🗑
|
||||
| organism in cat/dog bite, tx | Pasteurella multocida, augmentin
🗑
|
||||
| organism in human bite, tx | Eikenella, augmentin
🗑
|
||||
| bug for impetigo, erysipelas, cellulitis, folliculits | Staph, strep
🗑
|
||||
| bug in furuncle, tx | Staph Epi or Staph Aureus, drain and Abx
🗑
|
||||
| 2 MC bug in peritoneal dialysis cath infxn | Staph Epi or Aureus, can also be fungal which is hard to tx
🗑
|
||||
| tx peritoneal dialysis cath infxn | intraperitoneal vanc and gen
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
ehstephns
Popular Midwifery sets