Cellulitis and Erysipelas Overview
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Questions and Answers

What is the key difference between cellulitis and erysipelas?

  • Erysipelas is caused by methicillin-resistant S. aureus (MRSA).
  • Cellulitis has a sudden onset redness with well-demarcated borders.
  • Cellulitis is a superficial form of skin infection.
  • Erysipelas involves lymphatic channels and presents with poorly defined margins. (correct)

Which statement about cellulitis is FALSE?

  • Commonly occurs in head and neck in adults. (correct)
  • Constitutional symptoms like fever and malaise may be present.
  • Presence of red "streaking" in lymphatic channels is a characteristic feature.
  • It is usually caused by Streptococcus or Staphylococcus bacteria.

What distinguishes erysipelas from cellulitis in terms of presentation?

  • Cellulitis is more commonly associated with bullae, ulcers, and necrosis.
  • Cellulitis primarily affects the face, hands, and lower legs.
  • Erysipelas usually presents with a deep venous thrombosis (DVT).
  • Erysipelas has a sudden onset redness with well-demarcated, elevated borders. (correct)

What is the most appropriate initial step in the treatment of cellulitis or erysipelas?

<p>Identify bacteria with wound cultures (B)</p> Signup and view all the answers

When should methicillin-resistant S. aureus (MRSA) infection be suspected?

<p>In case of abscess presence and non-improvement with treatment (B)</p> Signup and view all the answers

What is the characteristic feature of erysipelas that distinguishes it from cellulitis?

<p>&quot;Well demarcated, elevated border that is advancing&quot; (A)</p> Signup and view all the answers

What is the recommended action if a patient with lower extremity infection shows no improvement after 24 hours?

<p>Refer to the hospital (D)</p> Signup and view all the answers

When should outpatient oral antibiotic treatment be initiated?

<p>When constitutional signs like fever and malaise are present (C)</p> Signup and view all the answers

In which scenario would referral to the hospital be necessary for a patient with a wound?

<p>If the wound appears to be necrotizing (B)</p> Signup and view all the answers

What are the criteria for outpatient oral antibiotic treatment to be considered in a patient?

<p>Absence of constitutional signs like fever or malaise (D)</p> Signup and view all the answers

What postexposure tetanus prophylaxis should be given to patients aged 7 years and above with contaminated wounds?

<p>Adult Td vaccine (A)</p> Signup and view all the answers

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