32: Inflamed 1st MPJ in Diabetic Pt - Frush

Question 1

periosteal rxn with cortical erosion

Answer 1

osteomyelitis

Question 2

cortical erosions around joint with distinct overhanging edges

Answer 2

gout

Question 3

fxs with periosteal rxn and joint destruction

Answer 3

charcot

Question 4

WBC normal

Answer 4

less than 11000

Question 5

sed rate normal

Answer 5

less than 15

Question 6

CRP normal

Answer 6

less than 1

Question 7

cardinal signs of inflammation

Answer 7

erythema
edema
increased warmth
pain

Question 8

infection with systemic manifestations is classifed as ..

Answer 8

severe category

Question 9

thick yellow purulent

Answer 9

MSSA

Question 10

quicker onset of purulent producing infection

Answer 10

MRSA

Question 11

deeper red infection than staph and not as purulent

Answer 11

strep

Question 12

fruity smell, green tinge to wound

Answer 12

pseudomonas

Question 13

extreme foul smell and brown watery discharge

Answer 13

anaerobes

Question 14

when do you culture?

Answer 14

• only if you think it is infected
• do not culture intact skin
• 1st cleanse and debride

Question 15

Tec 99 scan bone infection v. soft tissue infection

Answer 15

soft tissue - positive in first and second phase

bone - positive in all three phases