Septic bursitis

Question 1

bursa is a

Answer 1

synovial sac that alleviates friction at boney prominences and ligamentous attachments

Question 2

bursitis

Answer 2

can have inflamed bursa becuase of acute trauma, infection, crystalline arthropathy (gout) and autoimmune conditions (RA).

Question 3

clinical features of acute septic bursitis:

Answer 3

localized pain, warmth, swelling and erythema

active ROM is decreased or painful but passive range of motion is normal as it causes less pressure on bursa

Question 4

acute olecranon bursitis needs to have

Answer 4

bursal fluid analysis to identify if there’s crystals and rule out infection.

Fluid should be sent out for cell count and polarized microscopy, gram stain and glucose and culture

Question 5

sterile bursa cultures include:

Answer 5

cell count <500-1500

counts can be higher in gouty bursitis with 20K

Question 6

what is the cell count for bursa if someone who doesn’t have RA and has suspected septic bursitis?

Answer 6

counts of >3000-500/mm suggest septic bursitis even if gram stain is negative.

Question 7

if pt presents with new painful bursitis, and has fever and high bursal leukocyte count

Answer 7

presume they have septic bursitis

Question 8

management of septic bursitis is:

Answer 8

drainage of infected fluid and systemic antibiotics.

Question 9

intrabursal steroids is helpful for

Answer 9

noninfectious deep bursitis like trochanteric or subacromial

not for supficial bursitis due to possible infection or skin atrophy or sinus tract formation