| Show Learning Points most relevant to Phase 1: |
Skin and soft tissue infection
| Clinical Discipline(s)/Organ System(s) Dermatology, Infectious Diseases, Microbiology, General Surgery, Orthopaedics | Progress Test Topic(s) Infectious disease, Skin |
Description
A 55 year old NZ European man, who is overweight, attends his GP's practice with a painful red rash across his left foot. His foot is warm and swollen and he has an antalgic gait.
Progress Test-Type Questions: Question 1 | Question 2 | Question 3 | Question 4Applied Science for Medicine
- Anatomy and physiology of the skin
- Skin and soft tissue infections caused by Staphylococcus aureus (including methicillin-resistant S. aureus (MRSA)) and Streptococcus pyogenes
- Host response to bacterial infection
- Colonisation with S. aureus and S. pyogenes
- Pharmacology of penicillin, flucloxacillin, macrolides, clindamycin, antifungal agents; therapeutic options to treat MRSA
- Anatomy and physiology of the skin
- Skin and soft tissue infections caused by Staphylococcus aureus (including methicillin-resistant S. aureus (MRSA)) and Streptococcus pyogenes
- Host response to bacterial infection
- Colonisation with S. aureus and S. pyogenes
- Pharmacology of penicillin, flucloxacillin, macrolides, clindamycin, antifungal agents; therapeutic options to treat MRSA
Clinical and Communication Skills
- Elicit a history from a patient with a rash
- Examination of a rash; include other structures if relevant (e.g. joint if rash lies over it)
- Describe a rash using dermatological terminology
- Recognise dermatophyte infection
- Interpret skin scrapings, skin swabs and blood cultures
- Management of cellulitis, boils and tinea
- Antimicrobial stewardship; non pharmacological management of boils
- Antibiotic selection: intravenous/oral and consideration of antimicrobial resistance
- Management of the patient with recurrent boils
- Recognise and manage common skin and soft tissue infection (including ingrown toe nail) in primary healthcare setting
- Elicit a history from a patient with a rash
- Examination of a rash; include other structures if relevant (e.g. joint if rash lies over it)
- Describe a rash using dermatological terminology
- Recognise dermatophyte infection
- Interpret skin scrapings, skin swabs and blood cultures
- Management of cellulitis, boils and tinea
- Antimicrobial stewardship; non pharmacological management of boils
- Antibiotic selection: intravenous/oral and consideration of antimicrobial resistance
- Management of the patient with recurrent boils
- Recognise and manage common skin and soft tissue infection (including ingrown toe nail) in primary healthcare setting
Personal and Professional Skills
- Importance of hand hygiene in the clinical environment
- Communicate understanding of the social impact of skin and soft tissue infections
- Confidentiality
- Importance of hand hygiene in the clinical environment
- Communicate understanding of the social impact of skin and soft tissue infections
- Confidentiality
Hauora Māori
- Ability to cater for differential health literacy needs of patient and whānau
- Understanding of disproportionate impact of socioeconomic deprivation on Māori
- Ability to cater for differential health literacy needs of patient and whānau
- Understanding of disproportionate impact of socioeconomic deprivation on Māori
Population Health
- Epidemiology of cellulitis, MRSA infections
- Social determinants of skin and soft tissue infection (including consideration of overcrowding, cost of treatments)
- Epidemiology of cellulitis, MRSA infections
- Social determinants of skin and soft tissue infection (including consideration of overcrowding, cost of treatments)
Conditions to be considered relating to this scenario
Common
cellulitis, boil/furuncle, carbuncle, allergic reaction, venous insufficiency, dermatitis, erysipelas, tinea pedis, impetigo
cellulitis, boil/furuncle, carbuncle, allergic reaction, venous insufficiency, dermatitis, erysipelas, tinea pedis, impetigo
Less common but 'important not to miss'
necrotizing fasciitis, hidradenitis suppurativa
necrotizing fasciitis, hidradenitis suppurativa
