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martes, 31 de enero de 2017

Cellulitis over/underdiagnosis

avoidingERrors - By Jesse - January 28, 2017
"Summary
Before diagnosing cellulitis
  • 1. consider overdiagnosis: is it non-infectious?
    • -skin: eczema/dermatitis
    • -joint: gout
    • -chronic arterial: dependent rubor
    • -chronic venous: stasis
    • -acute venous: DVT, thrombophlebitis
  • 2. consider underdiagnosis: is it a complicated infection?
    • -NF: feel for crepitus, pain out of proportion, anesthesia, edema beyond. POCUS: Subcutaenous Thick, Air, Fascial Fluid. Get a surgery consult if you’re concerned, regardless of labs/imaging, and give broad-spectrum antibiotics early
    • -abscess: POCUS to diagnose and guide I&D
    • -foreign body: POCUS for foreign body"
cellulitis