MSK infection

Question 1

osteomyelitis below the ankle in pt with diabetes (mild)

Answer 1

treat as diabetic foot infection

mild: fluclox 0.5-1g QDS 7 days then review

At clarith, doxy, eryth (preg)

Question 2

what is classed as a mild diabetic foot infection

Answer 2

<2cm

Question 3

1st line for osteomyelitis + alt + if MRSA suspected

Answer 3

fluclox 6 weeks for acute infection
consider + fusidic acid or rifampicin for initial 2 weeks

allergy: clindamycin 6 weeks
consider + fusidic acid or rifampicin for initial 2 weeks

MRSA suspected: vancomycin or teicoplanin
consider + fusidic acid or rifampicin for initial 2 weeks

Question 4

1st line septic arthritis

Answer 4

fluclox 4-6 weeks

allergy: clindamycin 4-6 weeks

MRSA: vancomycin or teicoplanin (4-6 weeks)

gonococcal or gram -ve infection: cefotaxime (or ceftriaxone)

Question 5

1st line is fluclox. what is second line if allergy

Answer 5

clindamycin

Question 6

what is osteomyelitis

Answer 6

inflammation bone or bone marrow usually due to infection
painful