doc_clotaire
Forum Guru
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This information has been updated by UW in 2005 , there was a big controversial in the litteratute in last 10 years about that but NOW it 's clear now that 's it is SALMONELLA .
Remember UW is updating is info every year which give them more credit than Kaplan Q-Bank
On the exam : ON MY EXAM , I WILL PUT SALMONELLA BIG TIME 
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| NE
Forum Guru
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For step 1 I knew Salmonella; after dr. Fisher classes staphy had been my choice but USMLEWORLD had good explanation- salmonella is the MCC!
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| Sisdoc
Forum Senior
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Thanks guys that helps me now ....was confused for a while  ....but now will pick salmonella ....!
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| doyoudig
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well another thing u should consider when considering salmonella or staph is the route of infection
Samonella enter via the gut rather than external site of infection
take a look
a 7yr girl with sickle comes after scraping her leg while climbing over a barbed fence.Her mom applied mercurochrome at the time of injury but brought her 2 u today after discussing with a friend.She says tar the child recieved her last DPT at 4yrs.On exam there is a red crusted incision approx 3cm long on Lt lat gastonemius.Appropriate management,
a.tetanus boost,incision and drain of wound
b.tetanus immunoglob 250U
c.oxacillin and nafficillin
d.intramuscularly irrigation with 1lt of N saline,followes by topical antibio
2months later u get a call from ER tat this pt has presented with periostal pain above the site of wound.Appropriate action includes all except
a.drawing blood cultures and emperic antibio coverage
b.hydration,oral acetominophen and codein
c.radiologic long bone films
d.Tc bone scan
e.needle bone biopsy at the site of wound
The childs 4yr sis also has sickle,scrapes herself
following yr.She develops osteomyelitis and treated.The lab report on pathogen is most likely
a.gm -ve intracellular diplococci
b.gm -ve motile,nonsporulating gas producing rods
c.gm -ve rods producing bluish green pigment
d.gm +ve beta hemolytic cocci in pairs
e.gm+,coagulase + cocci in clusters
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| ssrpk
Forum Fanatic
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c.oxacillin and nafficillin
b.hydration,oral acetominophen and codein
e.gm+,coagulase + cocci in clusters
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| usmle12
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c e? b
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| Akeen
Forum Newbie
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d. important to irrigate te area to reduce bacterial load 1st
e. thinks this will be necessary to culture the offending organism
e. this is Staph aureus??
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| ssrpk
Forum Fanatic
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Appropriate action includes all except?
certainly needle biopsy and culture is imp.
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| doyoudig
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I don't belive we give Topical Ab's
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