Gas forming infections

12 cards

Weider - Gas forming


 
  
Created Oct 20, 2009
by
lwt7

 

 
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1
Which bugs can produce gas in the urinary system?
 
E Coli, Klebsiella, Proteus, Clostridium perfringens, Candida
2
What are risk factors for developing Fournier's?
 
DM, EtOH abuse, HIV, cancer. 
3
Along which planes does Fournier's spread?
 
Dartos, Colles, Scarpa's fascia (all contiguous).  May spread along Buck's as well. ...
4
Which bugs may cause Fournier's?
 
E Coli most common.  May also be enterococcus, staph, strep, bacteroides, pseudomonas.  Diagnosed...
5
How do you treat Fournier's?
 
Broad spectrum IV abx, debridement (all tissue that doesn't bleed).  SP tube if involvement...
6
What causes emphysematous prostatitis?
 
Prostate abscess or Fournier's gangrene.  Treat similar to prostate abscess or Fournier's. ...
7
What is emphysematous cystitis?  How does it present?  How do you eval?  How...
 
Gas in bladder wall.  Can have abd pain, hematuria, fever.  Eval w/ cxs, CT. ...
8
What is emphysematous pyelitis?  What is presentation?  What bug?  How do you...
 
Gas in collecting system.  More ill than pyelo, DM.  E. Coli.  CT.  May...
9
What is difference between renal abscess w/ gas and emphysematous pyelonephritis?
 
Renal abscess is a focal infx.  EP is diffuse.  Can treat abscess like non-gas containing...
10
What is emphysematous pyelonephritis?  What bug?  Presentation?
 
Severe pyelo w/ gas in parenchyma.  E Coli.  Often diabetics w/ urinary obstruction. ...
11
How do you treat emphysematous pyelonephritis?
 
IV abx, nephrectomy.  Otherwise higher mortality and may lose fx of kidney any ways. ...
12
What is post-infarction syndrome?
 
Occurs s/p therapeutic renal embolization.  Flank pain, leukocytosis, fever up to 104,...

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