Surgical Management of Necrotizing Fasciitis Quiz

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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?

Erythroderma Signup and view all the answers

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

The drug has a long half-life in the body. 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?

There is no correlation between them. Signup and view all the answers

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

Cellulitis Signup and view all the answers

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

Ampicillin-sulbactam Signup and view all the answers

Why is the CT scan result important in this case?

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

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

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

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

It indicates the presence of a systemic infection. Signup and view all the answers

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

It suggests the need for hospitalization and intravenous antibiotic therapy. Signup and view all the answers

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

Extensive, wide debridement of all necrotic tissues Signup and view all the answers

Which of the following statements about erythrodermic psoriasis is true?

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

What is the recommended treatment for the wounds after debridement?

Leave the wounds open and pack with wet gauze Signup and view all the answers

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

Generalized pustular psoriasis Signup and view all the answers

What is a potential trigger for erythrodermic psoriasis?

Suddenly stopping psoriasis medications Signup and view all the answers

What is necessary for the management of wounds after debridement?

Daily dressing changes Signup and view all the answers

What are some symptoms of pustular psoriasis?

Fever, chills, and pain Signup and view all the answers

How is erythrodermic psoriasis usually treated initially?

Topical moisturizers and steroids Signup and view all the answers

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

Eating spicy food Signup and view all the answers

Why should oral steroids be avoided in treating psoriasis?

They can worsen the psoriasis flare Signup and view all the answers

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

Systemic medication taken orally or by injection Signup and view all the answers

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

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

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

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

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

Bedside ultrasound 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?

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

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

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