Melody fracture blisters case Flashcards
medical term for blister
bullae
Fish bone
X= wbc, hgb, platelets, hct
Na/ Cl/ Bun/ Glucose
K / CO2/Cr
Sed rate & CRP
indicators for inflammation
A CRP level greater than 7.9 mg/dL with a finding of ESR greater than 60 mm/h increases the specificity, making a diagnosis of osteomyelitis likely.
Sepsis
SIRS = Having 2 of the following:
4>WBC>12
RR > 20
HR > 90
36>Temp>38
+ source of infection
Severe Sepsis
SIRS = Having 2 of the following:
4>WBC>12
RR > 20
HR > 90
36>Temp>38
+ source of infection
+ organ dysfunction or hypotension SPB < 90 or lactate > 4
Septic Shock
SIRS = Having 2 of the following:
4>WBC>12
RR > 20
HR > 90
36>Temp>38
+ source of infection
+ organ dysfunction or hypotension SPB < 90 or lactate > 4
hypotension not responding to fluids.
SIRS
Having 2 of the following:
4>WBC>12
RR > 20
HR > 90
36>Temp>38
LRINEC
Laboratory Risk Indicator for Necrotizing Fasciitis
Looks at CRP, WBC, Hgb, Na, Cr, Glucose
> 6 = nec fasc, but <6 does not rule out
qSOFA
quick score for sepsis. Used in ED to predict mortality.
Most common nec fasc organism?
Group B strep
Which tarsal coalition can cause a ball in socket ankle joint?
TN
What 2 things are in bone wax?
bees wax & paraffin
What causes cysts in bone?
Leaking of synovial fluid past damaged cartilage into subchondral bone
What are some causes of hallux varus in bunion surgery and what is surgical treatment?
Overcorrection: removal of fibular sesamoid, tightening of medial capsule.
Arthrodesis.
Na normal
135-145
