Infection and Clinical Practice EJR

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Question 1 of 1

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378373

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What is the below skin infection?

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378375

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What is the main pathogenic cause of follculitis?

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378376

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What is the following skin infection?

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Explanation

Superficial infection of outer layer of skin. Initially vesicular and then later crusted superficial infection of the skin Most common in children 1%-2% annual incidence – with epidemics in summer. Commonly affects exposed areas but can occur over any bo

378381

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Ecthyma is defined as impetigo with ulceration, invading through the epidermis. But what is the bacterial cause?

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Explanation

Presentation Initial lesions resemble impetigo but invade deeper Punched out deep purulent ulcers covered with green/yellow crust Commonly lower limb of children and older adults. Heals with scarring

378383

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A patient presents to you with a painful erhytamtous lesion, as seen below. There is an elevated, sharply demarcated border and lymphatic obstruction. What is your diagnosis at this stage?

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Explanation

Cellulitis is not as raised as this

378388

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A patient presents to you with pyrexia and the below lesion. It is hot and tender and near a 3 day old laceration on their leg. it is not raised and is not well demarcated. What is your best diagnosis at this stage?

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Explanation

An acute spreading infection of the skin that extends into the subcutaneous tissues Presentation: Spreading erythematous, hot, tender lesion. May surround/close proximity to trauma. Not raised or well demarcated like erysipelas. Often assoc. systemic s

381980

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What is the most common causative organism for osteomyelitis?

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381981

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What is the most common site for acute osteomyelitis to occur in children?

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381988

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Whilst you would be guided by cultures, what is the first line antibiotic for osteomyelitis?

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381989

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What is the most common causative organism of septic arthritis?

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378406

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You receive a phone call and are asked to review a patient. The nurse gives you a brief description of the patient, who is very pyrexic and haemodynamically unstable. He has a skin lesion on his right leg which is 'large'. She describes it as hot, red and swollen. It is extremely tender to touch, particularly around the margins of the erythema. There has been some skin discoloration at the centre of the lesion which appears to be moving quickly. What is your best guess with these details?

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Explanation

Severe acute infection involving the superficial tissues and deep fascia. Treatment. Debridement is only definitive treatment. Antibiotics. Tazocin/Meropenem and clindamycin. Delay in diagnosis or treatment => increased mortality

381990

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John, a 25 year old male, suffered a closed fracture of right tibia during a game of football. This required external stabilisation with an x-fix. Things progressed well with the fracture healing and metalwork removed. John was discharged. He presented today to A+E where you are working as the F1. 2/52 of loss of appetite, fever, feeling generally unwell and pain around site. You examine the leg – some tenderness, the wound has healed and the scar does not look infected. Bloods: WCC 20 (Neutrophils 19) CRP 115 Normal U+E/LFT/Glucose. Blood Cultures – Pending. Imaging: X-ray shows an area of translucence in the tibia. What is your best diagnosis at this stage?

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381991

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A patient who was recently treated by their GP for left leg cellulitis in the community with oral clindamycin has presented to the acute medical take with a 3 day history of loose stools and abdominal pain. A type 7 stool is collected and sent for further testing. Blood tests are significant for a total WCC 31 (Neutrophils 28), Plts 450, Hb 135, CRP 218, Cr 160 (baseline 110), Ur 10.8, K+ 3.2. An abdo film shows no abnormalities. What is your best diagnosis at this stage?

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381992

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Which of the below is the best treatment for Clostridium Difficile?

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381995

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are called by one of the nurses from the gastroenterology ward whilst you are on-call overnight. They would like you to review one of their patients who has become unwell. He has been on the ward for nearly 2 weeks for management of decompensated liver disease. They are complaining of shortness of breath and have a NEWS of 9 (RR 28, Sats 90% on RA, BP 109/60, HR 115bpm, T37.8C), having been previously 2 (sats 94% RA, HR 92). Following assessment of the patient you start them on supplemental oxygen, cannulate them and take bloods including blood cultures and a lactate, and give them a fluid challenge of 500mls STAT. You organise for a portable CXR as shown below. What is your diagnosis and how would you treat them at this stage?

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Explanation

Left sided extensive airspace heterogeneous opacification, more confluent in lower zones, consistent with pneumonic process. The fact they have been a hospital inpatient for 2 weeks mean this is likely a hospital-acquired pneumonia (HAP). Organisms that

Infection and Clinical Practice EJR

Question 1 of 1

Time Left

What is the below skin infection?

Select the correct answer(s).

(0/0)

What is the main pathogenic cause of follculitis?

Select the correct answer(s).

(0/0)

What is the following skin infection?

Select the correct answer(s).

(0/0)

Explanation

Ecthyma is defined as impetigo with ulceration, invading through the epidermis. But what is the bacterial cause?

Select the correct answer(s).

(0/0)

Explanation

A patient presents to you with a painful erhytamtous lesion, as seen below. There is an elevated, sharply demarcated border and lymphatic obstruction. What is your diagnosis at this stage?

Select the correct answer(s).

(0/0)

Explanation

A patient presents to you with pyrexia and the below lesion. It is hot and tender and near a 3 day old laceration on their leg. it is not raised and is not well demarcated. What is your best diagnosis at this stage?

Select the correct answer(s).

(0/0)

Explanation

What is the most common causative organism for osteomyelitis?

Select the correct answer(s).

(0/0)

What is the most common site for acute osteomyelitis to occur in children?

Select the correct answer(s).

(0/0)

Whilst you would be guided by cultures, what is the first line antibiotic for osteomyelitis?

Select the correct answer(s).

(0/0)

What is the most common causative organism of septic arthritis?

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Explanation

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Which of the below is the best treatment for Clostridium Difficile?

Select the correct answer(s).

(0/0)

Select the correct answer(s).

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Explanation

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