septic arthritis exam 2 Flashcards

1
Q

what are some iatrogenic causes of septic arththris

A

arthroscopy, arthrocentesis, fracture repair

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2
Q

what is the pathogenesis for septic arthritis

A

loss of PG

jt effusion

painful

compromose synovial blood flow

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3
Q

what are some complications with septic arthtiris

A

euthanasia

contralateral limb lamness

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4
Q

what are some complications with septic arththris

A

djd

acute synoviits with suppurative effusion

capsular fibrisosis

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5
Q

what are the types of septic arthritis in foal

A

S,E,P

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6
Q

in the s type what age does it affect

A

<1 week

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7
Q

what are cs seen with septic arthriitis

A

severe lameness, and effusion

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8
Q

are multiple joints affected in the s type

A

si :)

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9
Q

what are the most common jts affect with the s type

A

tibiotarsal and stilfe

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10
Q

are there multiple jts involved in the e type

A

si!

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11
Q

at what age does e type affect

A

weeks old

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12
Q

what are the most common jts affected in e type

A

distal femur, talus, tibia, and radius

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13
Q

what are cs seen in e type

A

mild intermittent lameness, fever, then acute exacerbation of lameness effusion

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14
Q

what age is seen in the p type

A

weeks to months

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15
Q

does the p type affect more than one jt??

A

usually only one site!

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16
Q

what are the sites seen in the p form

A

distal physis of MC3 AND MT3, radius, tibia

17
Q

would we like to debride the p type

A

NO WAY! will damage physis casusing premature closure

18
Q

in the synovial fluid of a foal with septic arthritis what color will you see

A

normal to cloudy,red, orange, and pink

19
Q

what will be the synovial cell count with a foal with septic arthritits

A

>50,000 cell count >90%neut

20
Q

foal- you must ID all jts involved and U/S what?

A

the umbilicus

21
Q

what is the most common risk factor with adults with septic arthritis

A

iatrogenic

22
Q

T/F an open jt is an infected jt in adults

A

YES!SO TRUE

23
Q

if abx and not getting better what should u do

A

fungal culture

24
Q
A

should i know this?

25
why should you tap away from the wound
you can possibly infect it
26
to be successful must have rapid recognititon of dz n immediate aggresssive tx T OR F
true
27
what is the mainstay tx for septic arthtriits
LAVAGE LARGE VOL OF 5-10L
28
Do we add chlorhexidine and iodine to lavage?
NO! it doesnt work and causes inflammation
29
when do we stop abx
minimum of 30d and 2weeks beyond resolutionof cs
30
what is the caution when tx multiple jts
DONT EXCEED DAILY TOTAL SYSTEMIC DOSE
31
what do we need to remember about NSAIDS
they can mask pain false impresion of sucess