Facial cellulitis - Revision history

Ostermayer: Text replacement - "Vancomycin " to "Vancomycin "

2017-01-27T19:51:23Z

Text replacement - "Vancomycin " to "Vancomycin "

← Older revision		Revision as of 19:51, 27 January 2017
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	'''Immunologic'''		'''Immunologic'''
	*[[Systemic lupus erythematosus]]		*[[Systemic lupus erythematosus]]
	*Vancomycin flushing reaction		*[[Vancomycin]] flushing reaction
	*Angioneurotic edema		*Angioneurotic edema

Rossdonaldson1: /* Clinical Features */

2016-09-27T17:38:12Z

Clinical Features

← Older revision		Revision as of 17:38, 27 September 2016
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	==Clinical Features==		==Clinical Features==
	*Erythema, edema, warmth, pain		*Erythema, edema, warmth, pain
	*Can be associated with chronic illness, trauma, insect bites, allergen exposure, dental caries, radiation exposure		*Can be associated with chronic illness, [[trauma]], [[insect bites]], [[allergen exposure]], [[dental caries]], [[radiation exposure]]
	*Consider severe illness or sepsis with systemic symptoms (fever, tachycardia, hypotension, AMS)		*Consider severe illness or sepsis with systemic symptoms ([[fever]], [[tachycardia]], [[hypotension]], [[AMS]])

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Management */

2016-09-27T17:37:19Z

Management

← Older revision		Revision as of 17:37, 27 September 2016
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	==Management==		==Management==
	*Analgesics		#Analgesics
	*Remove foreign bodies from affected area if possible		#Remove foreign bodies from affected area if possible
	*Abscesses should be drained		#Abscesses should be drained
			#Antibiotics (see below)

	===[[Antibiotics]]===		===[[Antibiotics]]===

Rossdonaldson1: /* Evaluation */

2016-09-27T17:36:50Z

Evaluation

← Older revision		Revision as of 17:36, 27 September 2016
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	==Evaluation==		==Evaluation==
	*Diagnosis is clinical		*Diagnosis is clinical
	*Consider labs, blood culture if patient is immunocompromised, risk factors, renal dysfunction		*Consider labs, [[blood culture]] if patient is immunocompromised, risk factors, renal dysfunction
	*Bedside US to identify abscess		*Bedside [[Ultrasound: Soft tissue\|ultrasound]] to identify abscess
	*CT can identify deep, extensive infection that involve soft tissues of neck or pharynx		*CT can identify deep, extensive infection that involve soft tissues of neck or pharynx

Rossdonaldson1: /* Differential Diagnosis */

2016-09-27T17:35:27Z

Differential Diagnosis

← Older revision		Revision as of 17:35, 27 September 2016
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	==Differential Diagnosis==		==Differential Diagnosis==
			===Facial cellulitis===
	'''Infectious'''		'''Infectious'''
	*[[Cellulitis]]		*[[Cellulitis]]

Rossdonaldson1: /* Differential Diagnosis */

2016-09-27T17:34:28Z

Differential Diagnosis

← Older revision		Revision as of 17:34, 27 September 2016
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	*Vancomycin flushing reaction		*Vancomycin flushing reaction
	*Angioneurotic edema		*Angioneurotic edema

			{{SSTI DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1 at 17:33, 27 September 2016

2016-09-27T17:33:15Z

← Older revision		Revision as of 17:33, 27 September 2016
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	==Background==		==Background==
	*Superficial soft tissue infection of the face		*Superficial soft tissue infection of the face
	*Risk ~~factors include~~ immunosuppression, diabetes, vascular injury (due to radiation or trauma), foreign bodies		*Most commonly caused by [[S. pyogenes]] and [[S. aureus]], including [[MRSA]]
	*Most commonly caused by S. pyogenes and S. aureus, including MRSA
			===Risk Factors===
			*[[immunosuppression]]
			*[[diabetes]]
			*[[vascular injury]] (due to radiation or trauma)
			*[[foreign bodies]]

	==Clinical Features==		==Clinical Features==
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	==Evaluation==		==Evaluation==
	*Diagnosis is clinical		*Diagnosis is clinical
	*Consider labs, blood cx if patient is immunocompromised, risk factors, renal dysfunction		*Consider labs, blood culture if patient is immunocompromised, risk factors, renal dysfunction
	*Bedside US to identify abscess		*Bedside US to identify abscess
	*CT can identify deep, extensive infection that involve soft tissues of neck or pharynx		*CT can identify deep, extensive infection that involve soft tissues of neck or pharynx
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	==Disposition==		==Disposition==
	*Most patients can be treated with oral antibiotics as outpatient		*Most patients can be treated with oral antibiotics as outpatient
	*Consider admission for:
	**systemic signs of sepsis		===Consider admission for:===
	**antibiotic intolerance		*systemic signs of sepsis
	**immunosuppression		*antibiotic intolerance
	**extensive areas of erythema or induration		*immunosuppression
	**foreign bodies that cannot be removed in ED		*extensive areas of erythema or induration
	**failure of outpatient therapy		*foreign bodies that cannot be removed in ED
			*failure of outpatient therapy

	==See Also==		==See Also==

Neil.m.young at 12:58, 27 September 2016

2016-09-27T12:58:35Z

← Older revision		Revision as of 12:58, 27 September 2016
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	==References==		==References==
	<references/>		<references/>
	*Tintinalli's Emergency Medicine 7th Edition, pg1557-8

	[[Category: ID]]		[[Category: ID]]

Neil.m.young at 12:57, 27 September 2016

2016-09-27T12:57:04Z

← Older revision		Revision as of 12:57, 27 September 2016
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	==External Links==		==External Links==

	'==References==		==References==
	<references/>		<references/>
	*Tintinalli's Emergency Medicine 7th Edition, pg1557-8		*Tintinalli's Emergency Medicine 7th Edition, pg1557-8

	[[Category: ID]]		[[Category: ID]]

Kaoru: /* Background */

2016-09-27T00:26:42Z

Background

← Older revision		Revision as of 00:26, 27 September 2016
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	*Superficial soft tissue infection of the face		*Superficial soft tissue infection of the face
	*Risk factors include immunosuppression, diabetes, vascular injury (due to radiation or trauma), foreign bodies		*Risk factors include immunosuppression, diabetes, vascular injury (due to radiation or trauma), foreign bodies
	*Most commonly caused by S. ~~progenies~~ and S. aureus, including MRSA		*Most commonly caused by S. pyogenes and S. aureus, including MRSA

	==Clinical Features==		==Clinical Features==