Hand cellulitis: Difference between revisions
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==Background== | |||
*Remove rings if infections are near the digits | *Remove rings if infections are near the digits | ||
==Clinical Features== | |||
*Erythema, warmth, and edema | *Erythema, warmth, and edema | ||
*Range of motion of digits, hand, and wrist should not be painful | *Range of motion of digits, hand, and wrist should not be painful | ||
**Pain predicts extensive involvement and the need for inpatient management | **Pain predicts extensive involvement and the need for inpatient management | ||
==Treatment== | |||
*Mild/moderate cellulitis | *Mild/moderate cellulitis | ||
**TMP/SMX DS 1-2 tab PO x 7-10d + (cephalexin 500mg PO QID x7-10d OR dicloxacillin 500mg PO QID x 7–10d) | **TMP/SMX DS 1-2 tab PO x 7-10d + (cephalexin 500mg PO QID x7-10d OR dicloxacillin 500mg PO QID x 7–10d) | ||
| Line 13: | Line 13: | ||
**Vancomycin 1gm IV q12hr | **Vancomycin 1gm IV q12hr | ||
==Disposition== | |||
*Consider admission for: | *Consider admission for: | ||
**Immunocompromised | **Immunocompromised | ||
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==See Also== | ==See Also== | ||
[[Hand Infection]] | [[Hand Infection]] | ||
==Source== | |||
Tintinalli | |||
[[Category:ID]] | |||
[[Category:Ortho]] | |||
Revision as of 04:42, 25 February 2012
Background
- Remove rings if infections are near the digits
Clinical Features
- Erythema, warmth, and edema
- Range of motion of digits, hand, and wrist should not be painful
- Pain predicts extensive involvement and the need for inpatient management
Treatment
- Mild/moderate cellulitis
- TMP/SMX DS 1-2 tab PO x 7-10d + (cephalexin 500mg PO QID x7-10d OR dicloxacillin 500mg PO QID x 7–10d)
- Severe cellulitis
- Vancomycin 1gm IV q12hr
Disposition
- Consider admission for:
- Immunocompromised
- Clinical toxicity
- Evidence of deep-space involvement
- Rapidly spreading infections
See Also
Source
Tintinalli