OnlineMedEd Shared "Skin and Soft Tissue Infections" - 7 Picmonics

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Skin and Soft Tissue Infections

Staphylococcus aureus Disease
Skin Infections
Impetigo
Abscesses
Exfoliative Toxin
Scalded Skin Syndrome
Toxic Shock Syndrome (TSST 1)
Binds to MHC II and T Cell Receptor
Food Poisoning
Acute Bacterial Endocarditis
Pneumonia
Osteomyelitis
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2 mins
Streptococcus Pyogenes Disease
Pyogenic
Pyogenic
Pyogenic Pharyngitis
Impetigo
Cellulitis
Toxigenic
Toxic Shock-Like Syndrome
Scarlet Fever
Sandpaper Rash
Strawberry Tongue
Immunologic
Immunologic
Rheumatic Fever
Antibodies to M Protein
Acute Glomerulonephritis (Post Streptococcal Glomerulonephritis)
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2 mins
Streptococcus pyogenes Characteristics
Characteristics
Group A Streptococci (GAS)
Gram-Positive
Cocci
Beta-Hemolytic
Catalase-Negative
Bacitracin-Sensitive
Hyaluronic Acid Capsule
Streptolysin O
DNase
Streptokinase
Exotoxin A
Pyrrolidonyl Arylamidase (PYR) Positive
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2 mins
Necrotizing Fasciitis Diagnosis and Treatment
Diagnosis/Workup
Usually a Clinical Diagnosis
Soft Tissue Gas On CT
Management
Emergent Surgical Debridement
Vasopressors and Fluids
IV Immune Globulin If Strep Toxic Shock Syndrome
Antibiotic Regimen
Carbapenem Or Piperacillin-Tazobactam
PLUS Clindamycin
PLUS MRSA Coverage
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4 mins
Necrotizing Fasciitis Pathophysiology and Characteristics
Bacterial Infection of Muscle Fascia and Subcutaneous Fat
Polymicrobial or Monomicrobial
Polymicrobial: Anaerobe + Gram Negative Enterobacteriaceae
Monomicrobial: Group A Streptococcus or Staph Aureus
Clinical Manifestations
Edema Extending Beyond Erythema
Crepitus
Pain Out of Proportion (POOP)
Anesthesia Over Affected Area (Late Finding)
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5 mins
Osteomyelitis
Cause/Mechanism
Bone Infection
Assessment
Warmth
Edema
Constant Bone Pain
Fever
Interventions
IV Antibiotics
Implanted Beads
Hyperbaric Oxygen
Surgical Removal of Ischemic Tissue
Considerations
Elevated ESR
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3 mins
Clindamycin
Mechanism of Action
Bacteriostatic
Binds 50S Ribosomal Subunit
Blocks Translocation
Indications
Anaerobic Infections above the Diaphragm
Aspiration Pneumonia
Lung Abscess
Side Effects
Can Cause Pseudomembranous Colitis
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1 min

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