musculoskeletal

Question 1

describe osteomyelitis

Answer 1

bacteria infection of medullary bone

Question 2

most common cause for osteomyelitis (pathogen)

Answer 2

staph aureas

Question 3

This is an infection of the bone that is caused by drug users

Answer 3

Exogenous osteomyelitis

Question 4

What are some examples of exogenous osteomyelitis

Answer 4

open fractures, surgery, penetrating wounds, drug users

Question 5

What is another name for hematogenous osteomyelitis. Describe

Answer 5

Endogenous, when infected bone starts from inside-out

Question 6

What is one cause of an endogenous osteomyelitis

Answer 6

bacteria carried in the bloodstream from a site of infection

Question 7

Would a foot ulcer caused by diabetes be an example of an exogenous or endogenous osteomyelitis?

Answer 7

Exogenous

Question 8

fixation of the root filled tooth that causes osteomyelitis would be an example of endogenous or exogenous?

Answer 8

endogenous

Question 9

most common sites for an endogenous osteomyelitis are:

Answer 9

spine, vertebrae and small bones

Question 10

Describe the pathophys. of osteomyelitis

Answer 10

Its caused by an inflammatory response which creates pus that extends out toward canal, compressing vascular supply, thrombosis eventually leading to necrosis/abscess formation

Question 11

In sickle cell anemic patients whats the most common pathogen causing osteomyelitis

Answer 11

salmonella

Question 12

How would u distinguish btw exogenous and endogenous osteomyelitis

Answer 12

Exogenous-fever, swelling, exudate/abscess and lymphadenopathy vs. endogenous-anorexia, wt. loss, malaise and gradual fever.

Question 13

how would u treat osteomyelitis

Answer 13

IV antibiotics and debridement

Question 14

what tests would u order for osteomyelitis. What’s one thing to consider when doing it…

Answer 14

CT scan, MRI or bone scan… sometimes it doesn’t show up until 2 wks.

Question 15

define mycotic infection of bone

Answer 15

usually a secondary infection from another organ- often in the form of a fungi

Question 16

how would u treat candidiasis osteomyelitis and coccidioidomycosis

Answer 16

oral azole antifungals

Question 17

this pathogen often causes monoarticular arthritis of the knee/hip or hands/wrists; almost always from primary lung or lymph

Answer 17

mycobacterium tuberculous

Question 18

This bone infection follows GU or GI infection that distorts immune response, resulting in asymmetric sterile osteoarthrits

Answer 18

Reiter’s Syndrome or reactive arthritis

Question 19

How would a pt present with Reiter’s syndrome (Reactive Arthritis)

Answer 19

painful, swollen toes, fingers, and heels; an asymmetrical sterile osteoarthritis following a GU or GI infection.

Question 20

septic arthritis is most commonly caused by which pathogen

Answer 20

staph. aureas