Surgical Management of Necrotizing Fasciitis Quiz
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Questions and Answers

What is the typical timeframe for the onset of the drug hypersensitivity syndrome after exposure to a culprit medication?

  • 2 to 6 days
  • Less than 2 weeks
  • More than 2 weeks
  • 2 to 6 weeks (correct)

    • Which of the following systemic symptoms is not commonly associated with drug hypersensitivity syndrome?

  • Fever
  • Hypertension (correct)
  • Lymphadenopathy
  • Rigors

    • What is one of the most common drug categories responsible for causing drug hypersensitivity syndrome?

  • NSAIDs
  • Anticonvulsants (correct)
  • Corticosteroids
  • Antibiotics

    • Which skin manifestation affects 80% of drug hypersensitivity syndrome cases?

    <p>Erythroderma</p> Signup and view all the answers

    Why may symptoms continue for weeks or even months despite discontinuing the culprit drug in drug hypersensitivity syndrome?

    <p>The drug has a long half-life in the body.</p> Signup and view all the answers

    What is an important point about the correlation between the severity of the skin rash and internal organ involvement in drug hypersensitivity syndrome?

    <p>There is no correlation between them.</p> Signup and view all the answers

    What is the most likely diagnosis for the patient's condition based on the information provided?

    <p>Cellulitis</p> Signup and view all the answers

    What is the most appropriate initial antibiotic treatment for this patient?

    <p>Ampicillin-sulbactam</p> Signup and view all the answers

    Why is the CT scan result important in this case?

    <p>It rules out the presence of an abscess or venous thrombosis.</p> Signup and view all the answers

    How does the patient's history of intravenous drug use affect the management of this infection?

    <p>It necessitates evaluation for potential underlying substance abuse disorders.</p> Signup and view all the answers

    What is the significance of the patient's elevated white blood cell (WBC) count?

    <p>It indicates the presence of a systemic infection.</p> Signup and view all the answers

    What is the significance of the patient's temperature of 39.5°C (103°F)?

    <p>It suggests the need for hospitalization and intravenous antibiotic therapy.</p> Signup and view all the answers

    What is the recommended approach for managing necrotic tissues during surgery?

    <p>Extensive, wide debridement of all necrotic tissues</p> Signup and view all the answers

    Which of the following statements about erythrodermic psoriasis is true?

    <p>It can disrupt the body's ability to control temperature</p> Signup and view all the answers

    What is the recommended treatment for the wounds after debridement?

    <p>Leave the wounds open and pack with wet gauze</p> Signup and view all the answers

    Which of the following conditions is described as a rare and potentially life-threatening form of psoriasis?

    <p>Generalized pustular psoriasis</p> Signup and view all the answers

    What is a potential trigger for erythrodermic psoriasis?

    <p>Suddenly stopping psoriasis medications</p> Signup and view all the answers

    What is necessary for the management of wounds after debridement?

    <p>Daily dressing changes</p> Signup and view all the answers

    What are some symptoms of pustular psoriasis?

    <p>Fever, chills, and pain</p> Signup and view all the answers

    How is erythrodermic psoriasis usually treated initially?

    <p>Topical moisturizers and steroids</p> Signup and view all the answers

    Which of the following is NOT a possible trigger for pustular psoriasis?

    <p>Eating spicy food</p> Signup and view all the answers

    Why should oral steroids be avoided in treating psoriasis?

    <p>They can worsen the psoriasis flare</p> Signup and view all the answers

    What kind of medication is usually started to control psoriasis quickly?

    <p>Systemic medication taken orally or by injection</p> Signup and view all the answers

    According to the information provided, what is the most appropriate initial management for this patient?

    <p>Perform bedside ultrasound to evaluate for an abscess and establish IV access</p> Signup and view all the answers

    Which of the following statements is true regarding the differential diagnosis for this patient?

    <p>A septic hip or necrotizing soft tissue infection should also be considered</p> Signup and view all the answers

    Which imaging modality is recommended for confirming the diagnosis and guiding drainage?

    <p>Bedside ultrasound</p> Signup and view all the answers

    Based on the information provided, what is the most likely reason for recommending IV antibiotics and admission for this patient?

    <p>Both the patient's HIV status and the suspected deep abscess location</p> Signup and view all the answers

    Which of the following statements is true regarding the management of this patient's condition?

    <p>Establishing IV access is recommended in anticipation of a drainage procedure</p> Signup and view all the answers

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