Síguenos en Twitter     Síguenos en Facebook     Síguenos en YouTube     Siguenos en Linkedin     Correo Salutsantjoan     Gmail     Dropbox     Instagram     Google Drive     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon


My photo
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




Monday, July 19, 2021

Hand Infections

emDocs - July 19, 2021 - By Sarah Brubaker / Reviewed by Alex Koyfman and Brit Long
Clinical Pearls
  1. Use ultrasound and your physical exam to distinguish between superficial and deep-space infection. If you have high concern for deep-space infection, consult your orthopedist, regardless of lab values.
  2. If you discharge the patient, remember to consider MRSA coverage, soft-tissue immobilization, and 48-hour re-check. If you performed an I&D, regular warm water soaks will probably be useful to ensure proper continued drainage.
  3. Don’t forget to ask about recent exposures and injuries; human bites, animal bites, and other zoonotic exposures require specific antibiotic coverage.
  4. If there is an associated wound, check the patient’s tetanus immunization status, and give the patient a tetanus booster if it was not updated in the last 5 years.
  5. Make sure a paronychia is NOT herpetic whitlow, because attempting to I&D herpetic whitlow will only make matters worse