Subacute Osteomyelitis

Question 1

Etiology

Answer 1

1. inadequate tx frm primary
2. staph aureus
3. other: salmonella, strep.

Question 2

Pathology

Answer 2

1. well-defined cavity in cancellous bone contain seropurulent
2. surrounding bone trabeculae thickened
   3

Question 3

CF

Answer 3

1. Pain
2. swelling
3. muscle wasting

-> little systemic complain (feve etc)

Question 4

ix

Answer 4

1. lab
   - normal twbc
   - elevated esr
2. imaging
   - plain: well-circumscribed, round, radiolucent cavity, 1-2 cm diameter, surrounded by rim (classic broddie abscess), proximal tibia or distal femur

Question 5

classification (robert)

Answer 5

1. anatomy

1a1b- distinct abscess
2- cortical destruction
3-periosteal reaction
4-onion peels
5- 
6-

Question 6

tx

Answer 6

1. Comservstive
   - abx up to 6 weeks
   - immobilization
2. Surgical
   - biopsy, curretwge
   - abx