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Hand Infections PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Hand Infections” by Mr Tony Barabas.

This medical PowerPoint presentation is about hand infections which can occur due to a variety of causes, including cuts, bites, puncture wounds, and other injuries. These infections can be caused by bacteria, viruses, fungi, or other microorganisms. Hand infections can range from mild to severe, and can cause pain, swelling, redness, warmth, and other symptoms.

Some common types of hand infections include Cellulitis, Abscess, Paronychia, Felon, and Herpetic whitlow.

Tags : Hand Infections, Cellulitis, Abscess, Paronychia, Felon, Herpetic whitlow, Hand Surgery, Hand Surgery PowerPoint presentation

Published on : May 29, 2023 | Views : 2076 | Downloads : 4

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Hand Infections Mr Tony BarabasPlastic and Hand Surgeon Cambridgeshire
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1. Paronychia: Acute. Chronic. 2. Felon. 3. Herpetic Whitlow. 4. Flexor Sheath Infections. 5. Palmar Infections. 6. Dorsal Infections. 7. ‘Fight Bites’
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Overview Most commonly staph aureus Many infections due to multiple organisms 30-40% grow anaerobic species. Other organisms include streptococci, enterobacteria, pseudomonas, enterococci, bacteroides.
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Paronychia
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Acute Paronychia Usually presents two to five days post-trauma. Usually Staphylococcus aureus and Streptococcus pyogenes Treatment: Warm water soaks if an abscess has not formed.
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Chronic Paronychia Chronic inflammatory condition (>6/52) Causes thickening of the cuticle and grooving of the nail Most Commonly caused by a candidal infection Often described in middle-aged women
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Conservative: topical antifungal/steroid. Surgical treatment: marsupialisation of perionychium Nail removal and topical antifungal
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Felon Abscess of the distal pulp or phalanx pad of the fingertip.
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Usually penetrating trauma Most commonly affected digits are the thumb and index finger May arise when an untreated paronychia spreads into the pad of the fingertip.
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Herpetic Whitlow Results from autoinoculation of type 1 or type 2 herpes simplex virus into broken skin. The infection may occur as a complication of primary oral or genital herpes lesions. Health care workers exposed to oral secretions
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Fever, lymphadenitis, lymphadenopathy Small, clear vesicles initially are present.
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Flexor Sheath Infections
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Kanavel’s four cardinal signs: (1) uniform, symmetric digit swelling; (2) at rest, digit is held in partial flexion; (3) excessive tenderness along the entire course of the flexor tendon sheath; (4) pain along the tendon sheath with passive digit extension. Pain with passive extension is the most clinically reproducible
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Usually secondary trauma or puncture wound. The trauma often is at a flexor crease; this is where the tendon sheath is most superficial.
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Staphylococcus and Streptococcus Early: splinting, elevation, ivAx 12-24 hours no improvement → surgical intervention Early surgery in immunocompromised or diabetics.
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Complications of late treatment: tendon necrosis, adhesion formation, spread of infection to the deep fascial spaces
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Palmar Infections 3 Potential Spaces Thenar Space Mid-palmar Space Parona’s Space
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Bites Human worse than animal High chance infection Beware punch to face injury Treat Wound excision Irrigation ?Delayed closure
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Bites – oral pathgens Human saliva – 100 million bacteria/ml 40+ species Mixed growth Commonly Staph aureus Staph epidermidis Gp A+D strep Neisseria Spirocheates becteroides
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Dorsal Infections 2 Potential spaces Dorsal Subcutaneous space Dorsal Sub-aponeurotic space
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Thanks for listening