Medical Study point

Definition :- it is an acute inflammation of Lymphatics of skin and mucus membrane caused by Streptococcus pyogens. Pre disposing factor :- 1. Malnutrition 2. Poor hygiene 3. Chronic diseases 4. Children and old people are commonly affected. Site :- 1. Face 2. Eyelids 3. Scrotum 4. Umbilicus (in infants) Mode of entry of the microorganism :- 1. Abrasion 2. Scratch Clinical features :- 1. Rose pink color rashes(edges are red and button hole like consistency) 2. Vesicles appear on rash then serous discharge excreted from vesicle. 3. Swelling on affected part due to subcutaneous tissue oedema. 4. Margin- bright red in color. 5. Surface- raised 6. Brown color 7. Sign of Toxaemia Constitutional symptoms :- 1. Fever 2. Malaise Investigation :- 1. CBP with ESR 2. Bacteriology test of discharge 3. Blood sugar Complications :- 1. Toxaemia 2. Septicaemia 3. Gangrene of skin and subcutaneous tissue 4. Lymphoedema Treatment (Rx) :- 1. Injection crystalline penicilli

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

Definition :- A spreading inflammation of connective tissue. It is usually subcutaneous and caused by β-haemolytic Streptococci or Staphylococcus aureus. Causative organism(C.O) :- streptococcus pyogens ( β-haemolytic streptococci, streptococcus aureus)  Source of infection(S.O.I) :-  • wounds and injuries ‌• scratch ‌• snack or scorpion bite Common sites :- •‌ lower limbs ‌• face •‌ scrotum Clinical features(C/F) :- ‌• history of trauma ‌• pain:- constant & throbbing in nature Constitutional symptoms :- •‌ fever ‌• headache ‌• malaise ‌• loss of appetite ‌• Toxemia Sign :- ‌• redness ‌• affected part is warm ‌• swelling ‌• tenderness ‌• induration(localized hardening of the soft tissue of the body)  ‌• enlarge regional lymph nodes Investigations :- ‌• blood examination:- CBP with ESR ‌• urine routine microscopy ‌• Culture and sensitivity test of blood and puss Treatment :- ‌• rest and elevation of affected part ‌• glycerin magnesium sulphate dressing ‌• antibiotics (broad spectru