Osteomyelitis Flashcards
1
Q
What is Osteomyelitis?
A
Infection of the bone and the bone marrow
2
Q
What is the commonest cause of osteomyelitis?
A
Staphylococcus Aureus
3
Q
What is the commonest cause of osteomyelitis with a history of sickle cell anaemia?
A
Salmonella
4
Q
What part of the bone is affected in osteomyelitis?
A
Metaphysis
5
Q
How does osteomyelitis present?
A
- Limp/reluctant to weight bear
- Non-specific site of infecition
- Malaise and fatigue (fever is septic arthritis)
6
Q
What are the main risk factors of osteomyelitis?
A
- Immunocompromised- Diabetes
- Sickle cell anaemia- caused by salmonella
- Open fracture
- Recent injury
- IV drug use
7
Q
How is osteomyelitis diagnosed?
A
- MRI
- Full blood count- white blood cells (inflammatory markers)
- Erythrocyte sedimentation rate, rise in inflammatory conditions
8
Q
What is the management of osteomyelitis if no penicillin allergy?
A
Flucloxacillin and rifampicin if not allergic to penicillin
9
Q
What is the management of osteomyelitis if penicillin allergy?
A
Clindamycin and fusidic acid if penicillin allergic
