Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

Acute severe lower limb pain in post burn patient.

Answer


Question A

-Gram positive bacilli on gram staining

- Not noted in this picture due to low magnification (bacilli with sub terminal spore)


Question B

-Blood agar

-Large, smooth, low convex, circular, translucent colonies with a double zone of hemolysis; a complete zone of hemolysis and a wider zone of incomplete hemolysis


Questions C

-Clostrodium perfringes


Question D

-Direct route through trauma or burn injury

-Hematogenous spread


Question E

-Gas outlining the muscle and fascia

-Muscle swelling


Question F

-Clostridial myonecrosis (gas gangrene)


Question G

-Wound Debridement

-Surgical amputation if necessary

-Antibiotic prophylaxis for surgery (ampicillin)

-Hyperbaric Oxygen Therapy to inhibit growth of clostridium perfringes


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For more info, visit http://emedicine.medscape.com/article/782709-overview