Septic Arthritis

Question 1

Types of infection

Answer 1

S type
E type
P type

Question 2

s type infection

Answer 2

only synovial fluid and membrane
+/- lameness

Question 3

age of s type infection

Answer 3

<2week old foal

Question 4

location of s type infection

Answer 4

tarsocrural joint
stifle
MCP/MTP

Question 5

e type infection

Answer 5

articular epiphyseal complex

Question 6

p type inection

Answer 6

most common
older foals
long bones and physis
poor prognosis

Question 7

bacteria of p type infection

Answer 7

enterobacter
strepto
rhodococcus

Question 8

clinical signs of septic arthritis

Answer 8

lameness
joint swelling
periarticular oedema
neutrophilic leukocytosis
hyperfibrinogenmia
xray -lysis
synovial fluid analysis

Question 9

treatment

Answer 9

synovial lavage
removal of foreign material
debridement
removal of inflammatory cells & mediators and fibrin clots
drains

Question 10

open joint injuries clinical signs

Answer 10

foamy discharge
watery yellow discharge
warmth and pain on palpation
lameness
wbc >40g/l
tp >2g/dl

Question 11

how to perform regional limb perfusion

Answer 11

tourniquet place above and below area
largest veins used
butterfly catheter
60ml for 20-30mins
amikacin

Question 12

intraarticular treatment

Answer 12

amikacin
ceftiofur
gentamycin
imipenem
vancomycin
collagen sponges

Question 13

street nail name

Answer 13

septic podotrochlear bursitis

Question 14

definition of street nail

Answer 14

puncture solar surface of hoof
mainly in hindlimb

Question 15

treatment of street nail

Answer 15

trim entire hoof
puncture tract cleaned and disinfected
sterile metal probe insterted and contrast material added to show integrity of synovial fluid