Osteomyelitis Flashcards
1
Q
Defintion
A
Infection in the bone and bone marrow (MC metaphysis of the long bones)
2
Q
Aetiology
A
Staph Aureus
3
Q
Types
A
Chronic osteomyelitis
Acute osteomyelitis
4
Q
Transmission
A
Direct = open fracture
Haematogenous
5
Q
Risk factors
A
Open bone fracture
Orthopaedic surgery
Immunocompromised
Sickle cell anaemia
HIV
Tuberculosis
6
Q
Presentation
A
Refusing to use the limb or weight bear
Pain
Swelling
Tenderness
Acute osteomyelitis: high fever
7
Q
Diagnosis
A
FIRST LINE: X-ray
GOLD STANDARD: MRI
Bloods:
- ESCR, CRP, WBC
- Cultures
Joint aspiration
8
Q
Management
A
Antibiotic therapy
Drainage and debridement of infected bone