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Skin, Wound, Bone and Joint Infections - Coggle Diagram
Skin, Wound, Bone and Joint Infections
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Folliculitis
Infection of hair follicles, inflamed pimples
Staph aureus: area of friction & sweat gland (axilla, buttocks)
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Mild cases resolve on their own, topical antibiotics may be required
Osteomyelitis
infection of bone, haematogenous spread/ contiguous spread
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Clinical features: pain, tenderness, swelling
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Furuncle
Boil, deep inflammatory nodule that develops from preceding folliculitis
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self resolve, warm compresses can help. Larger boils may require incision & drainage
Carbuncle
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Risk Factors: eczema, obesity, diabetes
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Dermatophyte Infections
Transmission: person to person, from animals, from soil
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Often self-resolve, topical anti-fungal if needed
Candida
Normal flora: GOT, female genital tract, skin
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Red rash, satellite lesions. Discrete white patches
Topical antifungal treatment, may require oral antifungals
Cellulitis
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Staph. aureus, Group A streptococcus
Risk Factors: cuts, lacerations or burns.
Dry broken skin, leg/foot ulcers, unhealthy nails, diabetes, lower limb oedema/swelling
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Mild Infection: Oral Antibiotics, no precipitating event (Flucloxacillin)
Severe Infection: IV antibiotics, IV Flucloxacillin, IV Vancomycin
Necrotising Fasciitis
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Can affect any part, most common in lower limbs & abdominal wall
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Risk Factors: Trauma, surgery, diabetes, immunosuppression
Clinical Features: severe cellulitis, skin discolouration
Management: debridement, IV antibiotics
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Septic Arthritis
Infection of joint space, haematogenous spread of bacteria or local spread
Staph aureus, Strep. A, B, C, G
Clinical features: fever, pain, swelling
Joint aspiration, blood cultures, X-ray
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