Osteomyelitis

Question 1

Best imagining modality for osteomyelitis

Answer 1

plain radiographs

Question 2

primary treatment of chronic osteomyelitis

Answer 2

surgery to remove the dead bone

Question 3

only cultures from where are reliable in osteomyelitis?

Answer 3

deep sites

Question 4

two causes of bone infection

Answer 4

haematogenous - from bacteraemia

contiguous - from infection adjacent to the area

Question 5

risk factors for osteomyelitis

Answer 5

penetrating injuries
surgical contamination
IV drug misuse
DM

Question 6

Important features of a joint with osteomyelitis

Answer 6

reduced mobility

swelling

Question 7

investigations in osteomyelitis

Answer 7

x-rays
blood cultures
aspirates
deep site swab cultures

Question 8

Clinical symptoms of osteomyelitis

Answer 8

Fever (typically low-grade)
Non-specific pain at the site of infection
Decreased sensation in cases of diabetic foot
Malaise and fatigue
Redness
Swelling
Sinus or wound drainage.

Question 9

how might cervical vertebral osteomyelitis present?

Answer 9

torticollis secondary to soft tissue infection of the neck

Question 10

Thing to look for on exam with osteomyelitis

Answer 10

scars from previous surgery 
sinuses 
decreased ROM 
deformity
tenderness

Question 11

First sign of osteomyelitis on x-ray

Answer 11

osteopenia

Question 12

length of AB treatment in acute osteomyelitis

Answer 12

2-4 weeks

Question 13

other than AB how should acute osteomyelitis be treated

Answer 13

immobilise the limb

analgesia