osteomyelitis Flashcards

1
Q

what is osteomyelitis?

A

infection of the bone and/or bone marrow

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2
Q

organisms that can cause osteomyelitis?

A
staph aureus 
pseudamonas
e coli 
strep 
MARS
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3
Q

what abnormality in gait can osteomyelitis cause?

A

limp

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4
Q

why does osteomyelitis cause bone death?

A

it is pyogenic (pus producing)

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5
Q

what bones does it usually affect

A

long bones

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6
Q

where in the bone do you most commonly get it?

A

metaphysis

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7
Q

who gets osteomyelitis?

A

neonates
drug users
HIV

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8
Q

symptoms

A

acute illness with extreme pain over the affected bone
fever
erythema and swelling
unwillingness to move limb

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9
Q

what would you get on blood cultures?

A

increased WBC and ESR

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10
Q

x rays will be normal early on, what will they start to show after 2 weeks?

A

loss of density

new bone outlining the raised periosteum

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11
Q

treatment of osteomyelitis?

A

IV antibiotics (gentamicin and flucloxacillin)

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