Spinal phogenic infection Flashcards
1
Q
1, staph aureus
2. wnterococuc strep- oexisting endo
3. e.coli -util
4, pseudomonas - drug abiser
A
organism
2
Q
route
A
haematogenous
on-haematogenous
3
Q
epids
A
lumbar vertebrae (high blood supply)> thoracic > cervical
4
Q
rf
A
ivdu dm systemic infx trauma immuno def
5
Q
cf
A
fever
backpain (sever, insidious, worse with axtivity, awaken at ngni)
radiculopathy (sciatica)
6
Q
ix
A
xray - narrowed space, end plate of vertebrae
blood - fbc, crp, esr, culture
7
Q
tx
A
conservative
- spunal brace
+ antibiotic (vsnco, cephas)
operative
- neuro decompression
- spunal destabilization