Cat Bite

2018 ◽  
pp. 146-150
Author(s):  
Martin Casey
Keyword(s):  
Emergency Room ◽  
Wound Closure ◽  
Hand Infection ◽  
Severity Of Injury ◽  
Animal Bites ◽  
Flexor Tenosynovitis ◽  
Invasive Management

This case reviews the basics in caring for patients with animal bites. Specifically, the chapter will demonstrate a case of flexor tenosynovitis, a severe hand infection that may be the result of common animal bites. Critical steps will be reviewed including identifying the severity of injury and when consultation for invasive management, such as surgery, may be indicated. Wound closure, antibiotic choice, and indications for rabies prophylaxis are discussed as well. The chapter focuses on a case of a cat bite. The patient presents to the emergency room with a 1-day prior cat bite. The chapter reviews her symptoms, such as swelling, pain, and erythema.

Hand Infections

2018 ◽  
Author(s):  
Scott D Lifchez ◽  
Colton McNichols
Keyword(s):  
Differential Diagnosis ◽  
Acute Infection ◽  
Disease Process ◽  
Hand Surgery ◽  
Inpatient Setting ◽  
Timely Manner ◽  
Functional Deficit ◽  
Hand Infection ◽  
Patient Will ◽  
Flexor Tenosynovitis

Hand infections are a common concern in the emergency, outpatient, and inpatient setting. It is important to accurately diagnose and treat these infections to minimize the risk of spread or functional deficit that could be permanent if not addressed in a timely manner. In this chapter, we aim to cover the epidemiology and etiology of hand infections along with how they tend to present in the clinical setting. This chapter is written so that each encounter can be analyzed in a logical, step-wise fashion from formulating a differential diagnosis to treatment. Upon evaluation, it is important to perform a thorough clinical examination in addition to knowing which imaging modalities can help elucidate the pathology when the initial presentation is unclear. These and other diagnostic studies are covered so that the differential diagnosis can be narrowed down. Each of the possible scenarios is clarified further to help confirm the most likely diagnosis. Finally, we touch on each treatment (whether surgical or medical) recommended for the suspected disease process. Overall, it is important to discern whether the patient will need a small procedure, surgery, or medication alone so that the appropriate management is performed and optimal healing is possible. This review contains 25 Figures, 10 Tables and 26 references Key Words: acute infection, chronic infection, paronychia, felon, flexor tenosynovitis, septic joint, hand infection, hand surgery

scholarly journals Impact of Mucorales and Other Invasive Molds on Clinical Outcomes of Polymicrobial Traumatic Wound Infections

2015 ◽  
Vol 53 (7) ◽  
pp. 2262-2270 ◽  
Author(s):  
Tyler E. Warkentien ◽  
Faraz Shaikh ◽  
Amy C. Weintrob ◽  
Carlos J. Rodriguez ◽  
Clinton K. Murray ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Bacterial Infections ◽  
Wound Closure ◽  
Fungal Infections ◽  
Combat Trauma ◽  
Content Type ◽  
Transfusion Requirements ◽  
Severity Of Injury ◽  
Significant Difference ◽  
The Impact

Combat trauma wounds with invasive fungal infections (IFIs) are often polymicrobial with fungal and bacterial growth, but the impact of the wound microbiology on clinical outcomes is uncertain. Our objectives were to compare the microbiological features between IFI and non-IFI wounds and evaluate whether clinical outcomes differed among IFI wounds based upon mold type. Data from U.S. military personnel injured in Afghanistan with IFI wounds were examined. Controls were matched by the pattern/severity of injury, including blood transfusion requirements. Wound closure timing was compared between IFI and non-IFI control wounds (with/without bacterial infections). IFI wound closure was also assessed according to mold species isolation. Eighty-two IFI wounds and 136 non-IFI wounds (63 with skin and soft tissue infections [SSTIs] and 73 without) were examined. The time to wound closure was longer for the IFI wounds (median, 16 days) than for the non-IFI controls with/without SSTIs (medians, 12 and 9 days, respectively;P< 0.001). The growth of multidrug-resistant Gram-negative rods was reported among 35% and 41% of the IFI and non-IFI wounds with SSTIs, respectively. Among the IFI wounds, times to wound closure were significantly longer for wounds withMucoralesgrowth than for wounds with non-Mucoralesgrowth (median, 17 days versus 13 days;P< 0.01). When wounds withMucoralesandAspergillusspp. growth were compared, there was no significant difference in wound closure timing. Trauma wounds with SSTIs were often polymicrobial, yet the presence of invasive molds (predominant types: orderMucorales,Aspergillusspp., andFusariumspp.) significantly prolonged the time to wound closure. Overall, the times to wound closure were longest for the IFI wounds withMucoralesgrowth.

scholarly journals Endovascular Treatment of Epistaxis

2020 ◽  
Vol 37 (02) ◽  
pp. 150-156
Author(s):  
Joan C. Wojak
Keyword(s):  
United States ◽  
Emergency Room ◽  
Endovascular Treatment ◽  
Treatment Strategy ◽  
The United States ◽  
Endovascular Embolization ◽  
Medical Attention ◽  
Endovascular Technique ◽  
Invasive Management

AbstractEpistaxis is not uncommon, with up to 60% of the population suffering from at least one episode in their lifetime and as many as 6% presenting for medical attention. An analysis of emergency room (ER) visits in the United States between 2009 and 2011 identified 1.2 million encounters for epistaxis, accounting for 0.32% of ER visits. Approximately 6% of patients will require more aggressive, invasive management in the form of transnasal ligation of the sphenopalatine artery or endovascular embolization. This article reviews the epidemiology, rationale for endovascular treatment, strategy for treatment, endovascular technique, postprocedural follow-up, and complications and their management.

scholarly journals Wound closure in animal bites

2004 ◽  
Vol 21 (5) ◽  
pp. 589-590 ◽  
Author(s):  
F. Garbutt
Keyword(s):  
Wound Closure ◽  
Animal Bites

scholarly journals Management of Animal Bite Wounds on Face: Our Experience

2011 ◽  
Vol 2 (4) ◽  
pp. 309-311
Author(s):  
G Anup Kumar ◽  
Abhishek Mathur ◽  
Keerthi Ramesh
Keyword(s):  
Surgical Treatment ◽  
Antibiotic Prophylaxis ◽  
Wound Closure ◽  
Common Complication ◽  
Wound Debridement ◽  
Plastic Reconstruction ◽  
Primary Wound Closure ◽  
Animal Bites ◽  
Bite Wounds

ABSTRACT Bite wounds are among the commonest types of trauma to which the man is subjected. Infection is the most common complication in animal bite wounds. The surgical treatment of facial animal bites remains a source of controversy. The controversies continue to center on the timing of wound debridement and primary wound closure as well as the use of antibiotic prophylaxis and primary plastic reconstruction. We report 30 cases of animal bites treated in our department and our protocol in the management of the same.

Adhesive Aids Wound Closure On Thin Skin

2008 ◽  
Vol 42 (2) ◽  
pp. 43
Author(s):  
Jeff Evans
Keyword(s):  
Wound Closure ◽  
Thin Skin
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