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PRISM > osteomyelitis > Flashcards

osteomyelitis Flashcards

1
Q

Osteitis

A

inflammation of the cortex

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2
Q

osteomyelitis

A

inflammation of medullary canal

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3
Q

sequestrum

A

piece of dead bone floating in pus/inflammation

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4
Q

involucrum

A

heath of bone surrounding pus/inflammation

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5
Q

Cloaca

A

tract through involucrum

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6
Q

Brodies abscess

A

chronic abcess surrounded by sclerosis

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7
Q

Sclerosing OM of Garre

A

low grade inflammatory condition

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8
Q

Contiguous/direct extension

A

outside in spread

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9
Q

Hematogenous spread

A

inside out spread

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10
Q

How long before can be called OM?

A

> 6 months (weiland)

>6 weeks. one failed episode of tx (schauwecker)

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11
Q

Cerny mader penninck classification

A 
Anatomic
1. medulary
2. superficial cortex
3. only cortex
4. cortex and medulary
Physiologic
A= Normal
Bs=systemic risk 
Bl= local risk
C= Tx worse than disease
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12
Q

Cerny mader penninck tx

A

stage 1: 2 wks IV + 2-4 weeks PO abx
Stage 2: debridement + 2 weeks IV
Stage 3&4: debridement + 4-6 weeks IV

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13
Q

OM best abx

A

doxy and cipro

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14
Q

IDSA tx recommendations

A

No residual infect: 2-5 days PO
Residual soft tissue: 2-4 wks oral
Residual bone: 4-6 weeks IV than oral
Residual dead bone > 3 months IV/oral

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15
Q

Cellulitis open wound

A

streaking=strept

none=staph

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16
Q

acute ulcer w out abx

A

Staph/strep

17
Q

Chronic ulcer w out abx

A

staph/strep/Enterobacter

18
Q

chronic ulcer + long cource abx

A

MRSA, enterobacter, corneybacterium, pseudomonas, gram - rod, VRE

19
Q

Macerated ulcer

A

pseudomonus

polymicrobial

20
Q

Necrosis/gangrene

A

resistant gram +, mixed gram -, anaerobes, polymicrobial

21
Q

osteomyelitis +IVDA/hemolysis

A

s. aureus pseudomonas, enterobacter

22
Q

OM + ulcer

A

gram neg

23
Q

OM + SCA

A

salmonella

24
Q

Immuno compromised infection

A

gram neg

25
Q

septic bursitis

A

s aureus

26
Q

white discharge

A

s epidermis

27
Q

yellow discharge

A

s. aureus

28
Q

infection after implant

A

s. epidermidis

PRISM (25 decks)

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