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drdoom
^ voted best username
+1
meryen13
its not e coli not because you couldn't vaccinate the pt but because he was in an accident and the chances of infection with s. pneumo is higher.
page 186 FA 2020:
splenic pt: s.pneumo >> H. influenza b> N meningitidis
+1
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pippylongstock
This question is asking about the โSโ of FA Mnemonic for S. Pneumonia โMOPSโ. Strep pneumo is the most common cause of sepsis in adults.
+3
emmy2k21
MOPS stands for meningitis, otitis, pneumonia, and SINUSITIS. It doesn't stand for sepsis. My guess as well is which is "more correct". It's about being able to identify encapsulated organisms and the spleen's role in immunity. Ha I chose E coli as well.
+7
et-tu-bromocriptine
emmy2k21 is correct, the S is for sinusitis. I was between E.coli & Strep Pneumo, but then recalled Sketchy putting the sickle on the 'encapsulated' knight in the Strep Pneumo video; Strep Pneumo is more associated with infecting sickle cell "functionally asplenic" patients.
+4
aneurysmclip
You could also recall that before splenectomy(ik this is a emergency splenectomy) we would want to give an encapsulated vaccine like the pneumococcal vaccine. this pushed me towards strep over ecoli
+2
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b1ackcoffee
You are right, this is INCORRECT way. Capsule helps in hematogenous spread by protecting from phagocytosis causing sepsis, meningitis, pneumonia, i.e. more systemic infections.
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submitted by โpowerfulgarbage(17)
FA 2020, page 127:
Encapsulated bacteria are opsonized and then cleared by spleen. Asplenic patients have decreased opsonizing ability and an increased risk for severe infections.
They need vaccines to protect against Neisseria meningitidis, Streptococcus Pneumoniae, Haemophilus influenza
mnemonic: "No Spleen Here"
regardless I got this one wrong because of a 50/50 guess between strep and e. coli. I guess they wanted you to recognize that he was at risk for S. pneumonia sepsis and therefore needed to be vaccinated, whereas there's not much you can do to protect him from E. coli other than wash your hands lol