Ortho

Question 1

What is osteomyelitis?

Answer 1

inflammation of the bone and medullary cavity usually localised in long bones

Question 2

What is the most common cause of osteomyelitis?

Answer 2

Staph

Mainly staph A

Question 3

Gold standard test for osteomyelitis?

Answer 3

bone biopsy

Question 4

Management of osteomyelitis?

Answer 4

best to wait on micro results, DO NOT TREAT empirically unless the patient is systemically unwell

need surgery to remove infected tissue, drain and debride as no antibiotic will work on the necrotic centre

6 weeks antibiotics tailored to organism

Question 5

Main cause of septic arthritis?

Answer 5

staph A

Question 6

Symptoms of osteomyelitis?

Answer 6

red, hot, swollen, loss of function at site, may have fever

Question 7

Symptoms of septic arthritis?

Answer 7

joint is red, hot, swollen and agonizingly painful, it is immobile

Question 8

Investigation of septic arthrits?

Answer 8

aspirate joint and send fluid to micro (important to check for crystal to rule out crystal arthropathy)
blood cultures

Question 9

Management of septic arthritis?

Answer 9

if staph A - IV flucloxacillin

might need to wash out the joint