What is Septicaemia? clinical features of septicaemia and treatment of septicaemia?

Definition:- presence of infective agent or their toxin into the blood stream with multiplication is called septicaemia.

Clinical features:-

1. Fever with rigor

2. Hypotension

3. Intravascular coagulation deffect

4. Petechial Haemorahge

Mode of transmission:-

1. By direct into the blood vessels

2. By infected emboli

3. By direct discharge of infected lymph into the blood stream.

Investigation:-

1. CBC(complete blood count)

2. ESR(erythrocyte sedimentation rate)

3. Blood culture and sensitivity test

4. Bacteriological examination of blood

Treatment:-

1. Immediate administration of suitable antibiotics(e.g. aminoglycoside, metronidazole etc.)

2. Use of antipyretic drugs

3. Use of IV(intravenous) fluids

4. Blood transfusion in severe cases

5. Hydrocortisone should be given in IV(intravenous) doses.

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What is Boil? treatment of Boil?

Definition :- it is an infection of hair follicle caused by staphylococcus aureus. Causative organism:- Staphylococcus aureus Common site :- 1. Face 2. Head 3. Neck 4. Back 5. Axilla Pre disposing factors :- 1. Diabetes Melitus 2. Poor hygiene 3. Low immunity Clinical features :- 1. Painfull red indurated swelling 2. Tenderness 3. Oedema 4. Small pustule 5. If burst greenish discharge found Fate :- 1. Resolve 2. Abscess formation 3. Septicaemia 4. Pyemia 5. Cavernous sinus thrombosis Complications :- 1. Cellulitis 2. Infection of the regional lymph nodes Investigation :- 1. CBC 2. ESR 3. Blood sugar Treatment :- 1. Maintain hygiene 2. Improve general health 3. Remove the affected hair 4. Antibiotics- if multiple boils found usually not required. 5. After escape of pus the part should be clean 6. If recurrent boil appear exclude the diabetes

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