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CD, 28 y/o male w/
cellulitis in r. hand d/t
IVDU and AKI from
…
CD, 28 y/o male w/
cellulitis in r. hand d/t
IVDU and AKI from
vancomycin use in
hospital.
Pathophysiology
Cellulitis is an infection that develops on the skin from bacteria entering the tissues beneath the outer layers. The most common cause of cellulitis is staph bacteria. IV drug users are more susceptible to contracting cellulitis because of the constant puncturing of the skin with potentially dirty and used needles. Using the same location for needle sticks also raises the chance for bacteria to enter the vessels and the tissue beneath the skin. CD likely contracted his cellulitis from his recent IV drug usage, which he uses as a coping mechanism.
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Assessment
Pt is awake, alert, Ox4. Edema: +1 in
LLE and RLE; +2 in RUE. Breathing non-labored,
clear bilat all fields. Skin is warm with abrasions on face. Otherwise dry and intact. Fingers are warm and blanchable. Incision covered with gauze bandage. Swelling in fingers.
Pertinent labs,
diagnostic tests
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Symptoms
Numbness, tingling in r. hand,
potentially nerve damage from
constriction from bandage. Also
potentially from cellulitis.
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Complications
Decreased kidney function from
AKI, caused by vancomycin usage.
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Spreading of infection
to other parts of the body
if not properly controlled with
antibiotic and antiviral treatment.
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