Page 100 - 2021 IDMT Digital
P. 100
CELLULITIS
Introduction:
• 'LIIXVH VSUHDGLQJ LQIHFWLRQ RI WKH GHUPLV DQG VXEFXWDQHRXV WLVVXH
• 0RVW FRPPRQO\ GXH WR JUDP SRVLWLYH FRFFL HVSHFLDOO\ JURXS $ EHWD KHPRO\WLF
VWUHSWRFRFFL DQG S aureus
Subjective:
• 6LJQV DQG 6\PSWRPV
o 7LPHOLQH
%HJLQV DV D VPDOO SDWFK H[SDQGV RYHU KRXUV
2QVHW WR SUHVHQWDWLRQ LV XVXDOO\ WR KRXUV
o 6ZHOOLQJ HU\WKHPD SDLQ
o 0D\ SURJUHVV WR FKLOOV IHYHU PDODLVH
o 5DUH VHSWLFHPLD PD\ GHYHORS UHVXOWLQJ LQ K\SRWHQVLRQ IROORZHG E\ VKRFN
Objective:
• 3K\VLFDO ([DP
o (GHPDWRXV H[SDQGLQJ HU\WKHPDWRXV ZDUP SODTXH ZLWK RU ZLWKRXW YHVLFOHV RU
EXOODH
• 7RROV
o /DEV
&%& PD\ VKRZ OHXNRF\WRVLV LQFUHDVHG :%& FRXQW
:RXQG EORRG FXOWXUHV PD\ EH SRVLWLYH
Assessment:
• 'LIIHUHQWLDO
o /LIH WKUHDWHQLQJ FRQGLWLRQV LI RQ ORZHU H[WUHPLWLHV
'HHS YHQRXV WKURPERVLV '97 ODUJH SDLQIXO VZROOHQ ORZHU H[WUHPLW\
KLVWRU\ RI VWDVLV
1HFURWL]LQJ IDVFLLWLV WR[LF DSSHDUDQFH EXOODH FUHSLWXV RU DQHVWKHVLD RI
LQYROYHG VNLQ
o $FXWH VHYHUH FRQWDFW GHUPDWLWLV LWFKLQJ LQVWHDG RI SDLQ
o )XUXQFOH ERLO GHHS VHDWHG LQIHFWLRQ DEVFHVV SUHVHQWV ZLWK H[WUHPHO\
SDLQIXO VZHOOLQJ
o 6WDSK\ORFRFFDO LQIHFWLRQV K\SHUDFXWH ZHHS\ SDLQIXO OHVLRQV
Plan:
• 0HGLFDWLRQV
o 2UDO DQWLELRWLFV WKDW SURYLGH FRYHUDJH RI Streptococcus DQG Staphylococcus
o 0LOG GLFOR[DFLOOLQ RU FHSKDOH[LQ
o &$ 056$ WULPHWKRSULP VXOIDPHWKR[D]ROH RU FOLQGDP\FLQ
• 6HYHUH V\PSWRPV
o 0D\ QHHG ,9 DQWLELRWLFV
o (9$& RU WUDQVIHU
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