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IRAT Question 1
*
Antibiotic therapy for cellulitis:
is always initially IV along with elevation of affected area.
is patient specific and may be IV or PO.
should wait to be chosen based on BCx or skin cx results.
should be continued for 14 days.
should be continued for 5 days.
IRAT Question 2
*
Classic signs of necrotizing fasciitis are:
Crepitus
Extensive skin involvement with mild pain
Mild cellulitis with severe pain
Bullae
Fever
IRAT Question 3
*
You should suspect a hot, erythematous leg is not cellulitis/erysipelas if:
BCxs are negative
this is recurrent cellulitis
the erythema surrounds a venous stasis ulcer
both legs are involved
it is associated with shock
IRAT Question 4 *
Preemptive antimicrobial therapy following an animal bite wound should be:
given to all patients
given to immunocompromised patients
PO cephalexin x 3-5 days
administered for 7 days
administered IV
IRAT Question 5 *
The most important component in diagnosis of necrotizing fasciitis is:
Imaging findings consistent with the dx
Exploration of tissues in OR
Positive gram stain/cx from tissue demonstrating presence of bacteria
Labs demonstrating leukocytosis and elevated CK
Physical exam findings
Thank you for completing your IRAT!
TBL