Outline typical presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan including pharmacological and nonpharmacological interventions, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales/tools (if any), and additional information that would be important to the geriatric population regarding one of the following conditions. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

Outline typical presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan including pharmacological and nonpharmacological interventions, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales/tools (if any), and additional information that would be important to the geriatric population regarding one of the following conditions. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

Outline typical presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan including pharmacological and nonpharmacological interventions, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales/tools (if any), and additional information that would be important to the geriatric population regarding one of the following conditions. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

DQ Question: Cellulitis

Cellulitis is a non-necrotizing inflammation of the skin and subcutaneous tissue from a primary infection. It is broadly categorized into non-purulent and purulent cellulitis, with the latter having pus in the affected part. The four classic symptoms of cellulitis include pain, swelling, warmth, and erythema (Sullivan & de Barra, 2018). In moderate to severe infection, the patient presents with malaise, fever, chills, altered mental status, tachycardia, tachypnea, hypotension, and toxicity

Cellulitis is a generalized infection with either Staphylococcus or Streptococcus and involves the deeper connective tissue. It can occur due to a secondary bacterial infection of an open wound, or it may be unrelated to skin trauma. The skin barrier is usually compromised. Streptococci cause diffuse, rapidly spreading infection because enzymes produced by the organism (streptokinase, DNase, hyaluronidase) break down cellular components that would otherwise contain and localize the inflammation (Sullivan & de Barra, 2018). Staphylococcal cellulitis is typically more localized and occurs in open wounds or cutaneous abscesses.

The differential diagnoses for cellulitis include deep venous thrombosis (DVT), Necrotizing fasciitis, Erythema Multiforme, and Gas Gangrene. Cellulitis is usually diagnosed through clinical examination (Ong et al., 2022). However, blood and tissue cultures are often taken to rule out bacteremia. A culture of needle aspiration can be taken to identify the colonizing bacteria.

Antibiotics are the treatment of choice, and selection is based on the presence or absence of purulence and other risk factors for serious and resistant infection (Ong et al., 2022). Non-pharmacological treatment includes surgical incision and drainage of the lesion. The incised part is cleaned and dressed with normal saline and sterile gauze. The patient should be taught to apply warm compresses twice a day to areas of cellulitis to increase comfort. Referrals can be made to a surgeon for consultation on the incision and drainage.

References

Ong, B. S., Dotel, R., & Ngian, V. J. J. (2022). Recurrent Cellulitis: Who is at Risk and How Effective is Antibiotic Prophylaxis?. International journal of general medicine, 15, 6561–6572. https://doi.org/10.2147/IJGM.S326459

Sullivan, T., & de Barra, E. (2018). Diagnosis and management of cellulitis. Clinical medicine (London, England), 18(2), 160–163. https://doi.org/10.7861/clinmedicine.18-2-160

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Outline typical presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan including pharmacological and nonpharmacological interventions, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales/tools (if any), and additional information that would be important to the geriatric population regarding one of the following conditions. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

• Urticaria
• Cutaneous Drug Reactions
• Psoriasis
• Other Papulosquamous Disorders
• Diabetic Foot Wounds
• Venous Ulcers
• Cellulitis
• Herpes Zoster
• Skin Cancer
• Melanoma
• Dermatologic Findings Related to Systemic Disease

 

 

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