Musculoskeletal system- Bone Infections Flashcards

1
Q

a bone infection that has been seeded through the bloodstream-occurs most often in long bones in children

A

Hematogenous

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2
Q

a type of bone infection where the organism gets directly inoculated into bone from trauma, fracture or surgery

A

Direct inoculation

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3
Q

type of infection which is contracted from a nearby infected soft tissue or from a prosthetic joint contaminated at surgery

A

Contiguous spread

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4
Q

a kind of contiguous spread from nearby soft tissue infection caused by poor circulation- often due to diabetic infection

A

Vascular Insufficiency osteomyelitis

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5
Q

a type of Osteomyelitis characterized by a sudden infection often in long bones (most often in children); fever, sore, red, warm, and swollen area over bone

A

Acute Osteomyelitis

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6
Q

A type of osteomyelitis characterized by a bone infection that doesn’t go away with treatment. Slower progressing and intermittent. Happens most often in adults due to direct injury, surgery or prosthetic infection

A

Chronic osteomyelitis

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7
Q

an area of necrotic bone resulting from abscess formation that impairs blood flow. reduced blood flow= reduced access by immune system and antibiotics

A

sequestrum

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8
Q

a type of osteomyelitis defined as an infection of the vertebrae; seen in elderly, sickle cell, kidney dialysis, or those who inject drugs

A

Vertebral Osteomyelitis

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9
Q

______ _________ is the organism considered to be the most common bacterial cause of vertebral osteomyelitis followed by _______ __________.

A

Staphylococcus aureus; Escherichea coli

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10
Q

most common organism isolated in all type of osteomyelitis- with MRSA on the rise

A

S. aureus

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11
Q

_______ ________ & ___________ _________ are more often a cause of chronic osteomyelitis in those with prosthetics

A

CONS (S epidermidis and S lugdunensis) & Proprionibacterium species

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12
Q

causes osteomyelitis in adults & children with sickle cell disease; sickle cell causes breakdown of intestinal lining & Salmonella gets into the blood stream->

A

Salmonella species

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13
Q

a bone infection that affects the spine; caused by Mycobacteria (TB)

A

Potts disease

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14
Q

a GPB that usually infects the cervical facial area but can spread to bone through blood

A

Actinomyces

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15
Q

organism that causes Cat scratch disease

A

Bartonella henselae

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16
Q

organisms that cause bone infection from farm animals

A

Brucella spp
Coxiella Burnetii

17
Q

an organism contracted from sandfly, causing bone infection

A

Leishmania

18
Q

they are aerobic bacilli causing tuberculosis, Potts, leprosy, etc; they are acid fast; resistant to decolorization by higher concentrations of acid alcohol; requires special media, but some species grow fast, while others take 12-16 weeks

A

Mycobacteria

19
Q

type of acid fast stain consisting:
-Carbol fuchsin (heated on the slide)
-3% acid alcohol
-Methylene blue

A

Ziehl-Neelsen stain

20
Q

a type of acid fast stain:
-Carbol fuchsin (higher concentration of phenol)
- 3% acid alcohol
-Methylene blue

A

Kinyoun stain (cold)

21
Q

type of acid fast stain which uses Lower concentration of acid alcohol (0.5- 1.0%)

A

Modified acid fast

22
Q

a type of stain used to visualize acid-fast bacilli using fluorescence microscopy; both dyes have a high affinity for mycolic acid; stains cell wall bright yellow or orange, with a dark background

A

Auramine Rhodamine

23
Q

Reagents of Auramine Rhodamine staining method

A

-Aurmaine-Rhodamine dyes (primary stain)
- Distilled water
-Acid-alcohol (decolorizer)
-Potassium permanganate (counterstain)

23
Q

Reagents of Auramine Rhodamine staining method

A

-Aurmaine-Rhodamine dyes (primary stain)
- Distilled water
-Acid-alcohol (decolorizer)
-Potassium permanganate (counterstain)

24
a dimorph contracted by inhalation of fungus in soil
Blastomyces
25
a dimorph contracted through inhalation of arthroconidia in soil
Coccidioides
26
a dimorph contracted from inhalation of microconidia/ hyphe in bat & bird feces
Histoplasma
27
a dimorph contracted through inhalation of fungus in soil in which coffee is grown
Paracoccidioides
28
a dimorph contracted through inhalation of fungus in soil around roses, may also be on rose thorns or plants
Sporothrix
29
Risk Level 3 organisms should only be worked on in a Containment Level __ Lab
3
30
a diagnostic procedure which uses serological or immunodiagnostic techniques
Antigen or antibody detection
31
a specimen type which is considered a gold standard for the diagnosis of osteomyelitis; collected by needle aspirate or bone marrow collected by needle aspirate in a clean, sterile tube with Na Heparin
Bone Biopsy
32
the second best option for specimen collection in diagnosing osteomyelitis
Bone piece
33
this specimen type should only be done if biopsy could not be done; collected by needle aspirate
Pus fluid from sinus/abscess aspirate
34
this type of specimen can be used but are positive in only 50% of cases of osteomyelitis
blood cultures
35
considered an inappropriate specimen for osteomyelitis because: -it will be contaminated by skin flora -will not capture actual pathogen (s) or anaerobes
Superficial swab
36
Bone biopsy, bone marrow aspirates are ________ specimens
sterile
37
A piece on bone or bone/ bone marrow biopsied via needle is placed directly in _____ ______- if possible, try and grind the bone or marrow first using a _______ _______
THIO broth; sterile grinder
38
all bone specimens except bone pieces will have a ______ ______ done & reported to the physician immediately
direct gram