Cellulitis Presentation (Sem 2) Ns3

CELLULITISCELLULITIS

NISHA

SURAYA

SHIMA

SAN

AEMIEY

MAD

NURUL

LINDA

NATHIAYA

SHIERA

DEFINITIONDEFINITION

- Is a inflammation of the - Is a inflammation of the connective tissue underlying connective tissue underlying the skin,that can be caused the skin,that can be caused by a bacterial infection.by a bacterial infection.- Can be caused by normal - Can be caused by normal skin flora or by exogenous skin flora or by exogenous bacteria. bacteria.

PAIN AND TENDERNESS

EDEMA

ABNORMAL REDNESS OF THE SKIN

SKIN THAT IS WARM TO THE TOUCH

FEVER

CHILLS

DIAGNOSISDIAGNOSIS

CLINICAL DIAGNOSISCLINICAL DIAGNOSIS APPEARANCE OF SKIN APPEARANCE OF SKIN BLOOD TEST AND WOUND CULTUREBLOOD TEST AND WOUND CULTURE REDDENED @ RASH SKINREDDENED @ RASH SKIN FACIAL LININGFACIAL LINING

CAUSESCAUSES

• BACTERIA GROUP A BACTERIA GROUP A STREPTOCOCCUS @ STREPTOCOCCUS @ STAPHYLOCOCCUSSTAPHYLOCOCCUS

• PREDISPOSING CONDITIONPREDISPOSING CONDITION• BURN AND BOILSBURN AND BOILS• MINOR FOOT LESIONMINOR FOOT LESION• OBESITY PEOPLEOBESITY PEOPLE

Rest affected limb or area.Rest affected limb or area. Clean the wound site-with debridement of Clean the wound site-with debridement of

dead tissue if necessary.dead tissue if necessary. Oral antibiotics.Oral antibiotics. Admission & intravenous(IV) therapy. Admission & intravenous(IV) therapy.

Flucloxacillin monotherapy-mild cellulitis.Flucloxacillin monotherapy-mild cellulitis. Oral phenoxymethyl penicillin.Oral phenoxymethyl penicillin. Intravenous benzylpenicillin.Intravenous benzylpenicillin. Ampicillin/amoxicillin.Ampicillin/amoxicillin. Pain relief-exercise painPain relief-exercise pain

GOOD HYGIENEGOOD HYGIENE

GOOD WOUND CAREGOOD WOUND CARE

CHANGE BANDAGE DAILYCHANGE BANDAGE DAILY

SEEK MEDICAL ADVICESEEK MEDICAL ADVICE

OLD AGEOLD AGE

DIABETIS MELLITUSDIABETIS MELLITUS

OBESITYOBESITY

SURGICAL WOUNDSURGICAL WOUND

ULCERSULCERS

EDEMAEDEMA

BROKEN OPEN SKINBROKEN OPEN SKIN

REFERENCESREFERENCES King,Christine,BVSc,MACVSc,and King,Christine,BVSc,MACVSc,and

Mansmann,Richard,VDM,PhD. ”Equine Lameness.” Equine Mansmann,Richard,VDM,PhD. ”Equine Lameness.” Equine Research,Inc.1997.Pages 548-549.Research,Inc.1997.Pages 548-549.

MFMER.‘Cellulitis’.3 July 2002.Mayo Foundation for MFMER.‘Cellulitis’.3 July 2002.Mayo Foundation for Medical Education and Research.30 Oct.2003 [1].Medical Education and Research.30 Oct.2003 [1].

NLM.’Group A streptococcal infections’.2002.National NLM.’Group A streptococcal infections’.2002.National Library of Medicine.30 Oct.2003 [2].Library of Medicine.30 Oct.2003 [2].

Pankey,George A.“Approach to rashes and infections of the Pankey,George A.“Approach to rashes and infections of the skin and subcutaneous tissues.”Textbook of internal skin and subcutaneous tissues.”Textbook of internal medicine.2medicine.2ndnd ed. 2 vols. Philadelphia:J.B. Lippincott ed. 2 vols. Philadelphia:J.B. Lippincott Company,1992.Company,1992.

Cellulitis Overview (with picture).Cellulitis Overview (with picture). Retrieved from “http://en.wikipedia.org/wiki/Cellulitis”Retrieved from “http://en.wikipedia.org/wiki/Cellulitis”