Skin infections.
Erysipilas is most commonly caused by what organism?
Originally recognised as a disease in 1090 AD and called "St Anthony's fire".
This infection was caused by a subperiosteal abscess. It is commonly known as what?
It is a potentially extremly serious complication of frontal sinusitis. Most commonly seen in teenagers and adolescents but can occur at any age. it is treated by surgical drianage and long term antibiotics.
Which of the following is a common nick name for impetigo?
It is highly contagious and usually caused by Staph aureus but can be caused occasionally by Strep Group A.
Treatment is with topical and occasionally oral antibiotics and well as careful removal of crusts with something like a "Chux" wipe.
This patient has a carbuncle. What is a carbuncle?
Generally caused by Staph aureus they generally require surgical drainage and subsequent antibiotics.
Why is Herpes Zoster known as "shingles"?
You can only get "Shingles" if you have had chicken pox. The dermatomal rash starts about 2-3 days after initial paresthesia and discomfort in the area. Early antivirals should be started (eg Valicyclovir 500mg bd po). Shingrix--the shingles vaccination is recommended for people over 50yrs age but is only free if you are over 65yrs of age.
This patient had itching, greatest at night. When you look closely at the hand you see this. What has he got?
First line treatment is topical Permethrin 5% cream (Lyclear). Apply to everywhere except the head and neck and wash off in 8 hours. Treat all household contacts.
Which of the following statements is UNTRUE about "Fornier's gangrene?
It is a polymicrobial necrotising perineal infection. The patient (overwhelmingly male) has perineal redness, swelling and pain. They usually look pretty unwell and may have crepitus from subcutaneous gas. Treatment is surgical debridgement and antibiotics. The picture is an ultrasound image of subcutaneous air in a patient with Fournier's gangrene. Nasty.
What is the difference between cellulitis and erysipilas?
There is a bit of cross over between the two entities.
Leech therapy is used in some plastic and microsurgery. They are also used for acne and in "wellness centres". What bacterial infection is carried by leeches and may be transferred during leech therapy?
These infections can result from minor to extensive wound loss. Tends to occur to areas with poor blood supply. Leeches carry the bacteria in their gut.
Bobby Leach slipped on an orange peel, fractured his leg and died of gangrene in 1926. What was this dare devil best known for?
The first was a woman---Annie Taylor---10 yrs earlier. He was on a publicity tour to New Zealand when the fall occurred.
He did the dive "option 2"--but he was not the first person to do it.