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Final Notes > FN: Septic Arthritis > Flashcards

FN: Septic Arthritis Flashcards

1
Q

Source of infection

A

Local

Haematogenous

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2
Q

Organisms

A

Staph
Streps
Conococcus (sexually active)
Gram ive bacilli

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3
Q

Common individuals

A

Joint disease e.g. RA
CRF
Immunosuppression (e.g. DM)
Prosthetic joints

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4
Q

Symptoms

A

Acutely inflammed tender, swollen joint
Reduced ROM
Systemically unwell

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5
Q

Investiations

A

Joitn aspiration for MCS (increase WCC(e.g. >50,000/mm3): mostly PMN
Increased ESR/CRP and Increased WCC
(CRP raised fast)
X-ray

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6
Q

Management

A

IV abx: vancomicin and cefotaxime
Consider joitn washout under GA
Spint joint
Physio after infection resolved

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7
Q

Complications

A

Osteomyelitis
Artheritis
Ankylosis: fusion

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8
Q

Differential

A

Crystal arthropathy

Reactive arthritis

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