Infectious disease Flashcards
What type of salter Harris fracture is above the growth plate
2
What type of salter Harris fracture is below the growth plate
3
What type pf salter Harris fracture is through the growth plate
4
What type of salter Harris fracture causes the erasure of the growth plate (compression of it)
5
What type of salter Harris fracture is the separation of the growth plate
1
What is the most sensitive test for osteomyelitis
MRI
Which gender is more likely to get pediatric osteomyelitis
Boys (2x more)
What is the reason otherwise healthy kids will get osteomyelitis
Function of rich blood supply and an immature immune system
What is pediatric osteomyelitis often mistaken for
malignancy
What is the most common area in the body that children will get osteomyelitis
Femur and tibia
What pathogen is generally the cause of pediatric osteomyelitis
S. Aureus
What is the cause of osteomyelitis in sickle cell patients?
Salmonella
What is the most common reason neonates typically get osteomyelitis
Group B strep
What is the typical presentation in pediatric osteomyelitis
Febrile
Chills
Malaise
Localized pain/swelling
Unable to bear weight
What are acute phase reactants
ESR and CRP
What will be seen in a CBC with diff if a child has osteomyelitis
> 70% PMNs
How long does a child have to have osteomyelitis before changes are seen on X-ray
1-3 weeks
What is seen with chronic cases of pediatric osteomyelitis
Sequestrum and involcrum
What test should always be done for infections
biopsy
What test should always be done with tumors
Culture
When should a biopsy and culture be done in regards to antibiotics
Before starting treatment
What empiric treatment is used for non-surgical cases of pediatric osteomyelitis
Nafcillin or Oxacillin (Targeted antibiotics)
What is given for pediatric osteomyelitis with suspected MRSA
Clindamycin or vancomycin
How long is osteomyelitis generally treated for
4-6 weeks