Cellulitis resident survival guide: Difference between revisions
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Shown below is an algorithm summarizing the diagnosis of [[cellulitis]]. | Shown below is an algorithm summarizing the diagnosis of [[cellulitis]]. | ||
{{familytree/start |summary=PE diagnosis Algorithm.}} | {{familytree/start |summary=PE diagnosis Algorithm.}} | ||
{{familytree | | | | A01 | | | A01= Patients presents with clinical symptoms suggestive of cellulitis, i.e. | {{familytree | | | | A01 | | | A01= <div style="float: center; text-align: left;"> Patients presents with clinical symptoms suggestive of cellulitis, i.e. | ||
* erythema | * erythema | ||
* edema | * edema | ||
| Line 39: | Line 39: | ||
{{familytree | | | | | | F01 | F01= Raised ESR, CRP and leukocytosis }} | {{familytree | | | | | | F01 | F01= Raised ESR, CRP and leukocytosis }} | ||
{{familytree | | | | | | |!| | }} | {{familytree | | | | | | |!| | }} | ||
{{familytree | | | | | | G01 | G01= Does patient have any signs of rapidly progressive or systemic infection? | {{familytree | | | | | | G01 | G01= <div style="float: center; text-align: left;">Does patient have any signs of rapidly progressive or systemic infection? | ||
* Body temperature>101.5 degrees Fahrenheit, chills, headache, and fatigue | * Body temperature>101.5 degrees Fahrenheit, chills, headache, and fatigue | ||
* Signs of sepsis. i.e. hypotension and heart rate>100bpm | * Signs of sepsis. i.e. hypotension and heart rate>100bpm | ||
| Line 45: | Line 45: | ||
* Patient has low immunity (i.e. infants and elderly patients) }} | * Patient has low immunity (i.e. infants and elderly patients) }} | ||
{{familytree | | | | | | |!| | }} | {{familytree | | | | | | |!| | }} | ||
{{familytree | | | | | | H01 | H01= Perform the following tests: | {{familytree | | | | | | H01 | H01= <div style="float: center; text-align: left;">Perform the following tests: | ||
* Debridement of wound with culture of the specimen | * Debridement of wound with culture of the specimen | ||
* Blood culture | * Blood culture | ||
Revision as of 13:59, 17 October 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
Causes
Life Threatening Causes
No known life-threatening causes are included.
Common Causes
The cellulitis is bacterial in origin caused by invasion of bacteria through the skin barrier. The common causes are:
- Streptococcus pyogenes
- Staphylococcus aureus
- Haemophilus influenza type B
- Clostridium
- Streptococcus pneumoniae
- Neisseria meningitidis
Diagnosis
Shown below is an algorithm summarizing the diagnosis of cellulitis.
Patients presents with clinical symptoms suggestive of cellulitis, i.e.
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| Perform compression Doppler ultrasound of the limb and D-dimers level | |||||||||||||||||
| Positive | Negative | ||||||||||||||||
| likely Deep venous thrombosis (DVT) | DVT unlikely. High clinical suspicion for cellulitis | ||||||||||||||||
| Assess levels of inflammatory markers | |||||||||||||||||
| Raised ESR, CRP and leukocytosis | |||||||||||||||||
Does patient have any signs of rapidly progressive or systemic infection?
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Perform the following tests:
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Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.