Septic Arthritis Flashcards
One of the many reasons SA is an emergency because
Spread to surrounding tissues
Most common bac cause
S aureus
Common bac in prosthetic joint
S epidermidis
Common bac in children
Sep pyogenes
Common bac in sexually active
N gonorrhoea
Typical patient age
Young
Exam question gram stain result
Gram -ve diplodocus
What must you do if urinary/genital symptoms trick you into thinking this is reactive arthritis
Exclude SA 1st
Joint aspiration is taken via
MCS
Blood results in SA
- WCC
- ESR/CRP
Most common spread of SA
Haematogenous
IV Abx choice
Penicillin
Joint washout requires
GA
Differentials: gout
Urate crystals -very birefringent of prolapsed light
Differentials: pseudogout
Calcium pyrophosphate crystals; rod shaped & +very birefringent