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Author Question: The CXR image shows a small right infiltrate. The physician suspects an embolism, either fat or ... (Read 36 times)

sabina

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on: Jun 25, 2018
The CXR image shows a small right infiltrate. The physician suspects an embolism, either fat or pulmonary,
  and orders a STAT spiral CT scan of the lungs. The interpretation of the results reads strongly suggestive
  of a pulmonary embolus (Pe)
 
  What are the most likely sources of the embolus?
  What will be an ideal response?

Question 2

H.K. returns to surgery. The wound over H.K.'s fracture site has become necrotic with purulent drainage.
  The wound is debrided and cultured and a posterior splint is applied. H.K. returns to his room with orders
  for wet-to-moist dressing changes.
 
  The physician suspects osteomyelitis and orders nafcillin (unipen) and
  ciprofloxacin (Cipro). Contact precautions are implemented.
  Why are two antibiotics ordered?
  What will be an ideal response?


emsimon14

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Reply #1 on: Jun 25, 2018
Answer to Question 1

 Deep vein thrombosis (DVT) from immobility
 Fatty embolism from femoral fracture

Answer to Question 2

More than one antibiotic might be necessary to fight multiple types of organisms that might be
causing the infection.


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