Soft Tissue Infections

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1.  Rabies.  What are the symptoms, course, and treatment?  What is the mortality?

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2.  Tetanus.  What are the symptoms, course, and treatment of tetanus?  What is the mortality?  What if someone was unvaccinated as a child and steps on a nail?

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3.  Is it better to be bitten by a brown recluse spider or a black widow spider?  What are the symptoms and treatments of each?

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4.  A rattlesnake is found under your desk, and it bites you.  What should you do?  What do you do if it were a coral snake?

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5.  A patient is bitten in the hand and presents with deep teeth marks in the dorsal MP and volar PIP.  What should you do?  What are Kanavel's four signs?  What is the outcome of MP infections?  (J Hand Surg 1990; 15A:474)

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6.  Tell us the differences in signs, course, and treatment of the following:  Meleney's gangrene, clostridia gangrene, Fournier's gangrene, and streptococcal gangrene.

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7.  The oncology service calls you.  They have a patient who just had an adriamycin extravasation.  What should you do?

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8.  A housepainter presents after a pressurized paint gun went off into his index finger.  What do you do?

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9.  Tell us the classical signs and treatment of the following:  Pasturella hand infections, Vibrio hand infections, herpetic whitlow, Mycobacteria marinum, Aeromonas hydrophilia, and Eikenella corrodans.

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10.  How should you sterilize office equipment to prevent HIV infection?  Does cleansing off your bandage scissors with alcohol kill the HIV virus?  What are OSHA regulations concerning sterilization?

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11.  After pruning rose bushes, you get a raised red nodule.  It ulcerates with satellite nodules up your arm.  What do you do?

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12.  What are the classic signs of tenosynovitis?  What do you do?  What is the long-term outcome of these patients?

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13.  Discuss midpalmar and thenar space infections.

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14.  How do you treat a finger felon?

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15.  The president of ASPRS invites you to dinner.  His cat bites your right hand, and his dog bites your left hand.  What should you do?

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