Microbiology Flashcards
What two types of fractures are there?
Direct - high or low energy
Indirect - traction, bending, torsion, bending and torsion
What is the treatment for osteomyelitis?
Debridement and antimicrobials
What is an open fracture?
When the fracture involves a break in the skin
What is non union?
The fracture will not heal
What are the most common pathogens involved in osteomyelitis?
Staph aureus and anaerobic gram -ve bacteria
Tell me about osteomyelitis coming from diabetic disease
Often contagious Microneurovascular dysfunction Vasomotor dysfunction Claw toes Often polymicrobial
What use is an MRI for osteomyelitis?
To see the infections involvement in the bone
What must you wait for in an osteomyelitis case?
Biopsy and culture
What antibiotics would be used?
Fluclox and Vancomycin if MRSA
A person with tennis shoes steps on a nail, what is the infective organism?
Pseudomonas
Who suffers from haematogeneous osteomyelitis?
Prepubertal children
PWID
Central lines, dialysis, elderly (more encounters with healthcare)
What are the usual and more unusual pathogens from haematogeneous osteomyelitis?
Staph a Strep Pseudomonas Candida Eikenella corrondens (needle lickers), mycobacterium TB
Dialysis patients have high colonisation rates of what organism?
Staph
Where does osteitis pubis affect?
The pubic symphisis
What predisposes to osteitis pubis?
Urogynae procedures - lower abdominal pain and pelvic pain
Athletes are predisposed
What is Gauchers disease?
Paeds Lysosomal storage disorder May mimic bone crisis Often tibia Sterile if bone crisis Deposition of glucocerebroside in cells of the macrophage monocyte system -> deficiency of the enzyme glucocerebrosidase