B&J Flashcards
Acute OM Onset and Symptoms
Onset of several days to wks
Symptomatic for 4 wks
Chronic OM Symptoms
> 1 month of symptoms w/o treatment or relapse
Hematgenous OM People
Neonates: joint involve
Adults: adjacent space
<16 yo
Contiguous OM MOA
Penetrates wounds
Spreads from soft tissue
>50 yo
Multiple organisms
Presentation of OM
Decreased motion, pain at site
Con to radiologic testing in OM
Bone changes don’t appear for 10-14d
>50% bone matrix must be destroyed before seen
Infectious Arthritis is usually
monoarticular
Infectious Arthritis RF
Corticosteroids Arthritis in adults Trauma IDU Prosthetics
Nongonocooccal Infectious Arthritis Presentation
Single joint knee
Joint effusion
Tender
Positive blood test and joint fluid cultures
Gonococcal Infectious Arthritis Presentation
Migratory polyarthralgia High fever Tenosynovitis Dermatitis Positive GU culture
Nongonocooccal Infectious Arthritis Duration
2-3 weeks
2 wk of IV
Gonococcal Infectious Arthritis Duration
7-10 days
Hematogenous Neonate Sites
Long bone and joints
Hematogenous Child Site
Long bone
Hematogenous >50 yo Site
Vertebrae
Hematogenous IDU’s Site
Vertebral, sternal, pelvic
Hematogenous Sickle Cell Pt Sites
Long or tubular bone
Contiguous >50 yo Site
Femur, tibia, mandible
Vascular Insufficiency Site
Toes, feet
IV to Oral in OM requirements
OM
Improvement with IV
Oral with good bioavailability
Pt compliance
IV to Oral in OM who?
Child with response to IV
Adults WITHOUT diabetes or peripheral vascular disease with susceptibility to FQ
