Michael Barza, Author at Clinical Pain Advisor

Michael Barza

All articles by Michael Barza

Cellulitis, erysipelas

1. Description of the problem What every clinician needs to know Patients with uncomplicated cellulitis rarely require admission to the ICU. Infections requiring ICU admission usually involve deeper tissues and more severe infections such as myositis or fasciitis or deep soft tissue abscess. Any patient with “cellulitis” and severe pain in the area or abnormalities…

Infections of Joints, Septic arthritis; infectious arthritis

Infections of Joints Synonyms Septic arthritis; infectious arthritis Related conditions Prosthetic joint infections 1. Description of the problem Infections of joints can arise from: Hematogenous spread (in the course of bacteremia or fungemia): the most common route Direct inoculation (surgical, injections of joints, or accidental trauma) Contiguous spread (e.g., from adjacent osteomyelitis): rare Infections of…

Myositis, Fasciitis and Muscle Abscesses

Necrotizing fasciitis, myositis, and muscle abscesses Synonyms For fasciitis and myositis: gangrene; gas gangrene; Fournier’s gangrene For muscle abscess: pyomyositis 1. Description of the problem What every clinician needs to know Necrotizing fasciitis and myositis The key feature of fasciitis and myositis, and, to a lesser degree, muscle abscess, is pain – pain out of…

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