Nr571 Midterm Questions Study Guide Graded A+

Which of the following patients is at the highest risk for necrotizing fasciitis? 65 year-old obese female with a past medical history of obesity, diabetes, and hypertension who underwent an open cholecystectomy 2 days ago. A 46 year-old male with a past medical history of HIV presenting with acute low back pain A 60 year-old male with a past medical history of traumatic leg fracture 2 years ago A 39 year-old female treated for cellulitis from a spider bite who clinically improves within the 1st 24 hours of antibiotic administration {Ans: 65 year-old obese female with a past medical history of obesity, diabetes, and hypertension who underwent an open cholecystectomy 2 days ago. Rationale: The 65 year-old female has the most risk factors (obesity, diabetes, HTN) with a recent abdominal surgery wound. Although HIV is a risk factor, the 46-year old is not noted to have any symptoms to support a soft tissue infection. A traumatic leg fracture 2 years ago does not increase a person's risk of NF now and there are no current open wounds. Lastly, the patient with cellulitis is improving clinically on the Bactrim, so is less likely to have NF.}A 72-year-old male with a