Osteomyelitis Flashcards

1
Q

Defintion

A

Infection in the bone and bone marrow (MC metaphysis of the long bones)

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2
Q

Aetiology

A

Staph Aureus

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3
Q

Types

A

Chronic osteomyelitis
Acute osteomyelitis

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4
Q

Transmission

A

Direct = open fracture
Haematogenous

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5
Q

Risk factors

A

Open bone fracture
Orthopaedic surgery
Immunocompromised
Sickle cell anaemia
HIV
Tuberculosis

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6
Q

Presentation

A

Refusing to use the limb or weight bear
Pain
Swelling
Tenderness
Acute osteomyelitis: high fever

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7
Q

Diagnosis

A

FIRST LINE: X-ray
GOLD STANDARD: MRI
Bloods:
- ESCR, CRP, WBC
- Cultures
Joint aspiration

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8
Q

Management

A

Antibiotic therapy
Drainage and debridement of infected bone

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