Term
| definition of osteomylitis |
|
Definition
| infection of the bone leading to destruction, necrosis, and new growth |
|
|
Term
| which bones does osteomylitis occur the most in? |
|
Definition
| long bones (tibia, radius, femur, humerus) |
|
|
Term
| how do you differentiate btwn chronic and acute |
|
Definition
chonic is more than 1 month
acute has onset in days to week and symptomatic for less than a month |
|
|
Term
|
Definition
|
|
Term
| 2 ways to classify osteomylitis |
|
Definition
|
|
Term
| what are the 3 portals of entry |
|
Definition
hematogenous
contiguous
Vascular insufficiency |
|
|
Term
| which pathway is more for children |
|
Definition
|
|
Term
| which portal of entry is most common |
|
Definition
|
|
Term
| which portals of entry are polymicrobial |
|
Definition
| contiguous, vascular insufficency |
|
|
Term
| def of contiguous for osteomylitis |
|
Definition
| seeding from a soft tissue infection or open fracture |
|
|
Term
| predisposing factors for contiguous |
|
Definition
| open fracture, soft tissue infection, joint replacement, infected sinus or teeth |
|
|
Term
| what infection easily can go into vascular insufficient osteomylitis |
|
Definition
|
|
Term
| where in the bone does hematogenous osteomylitus begin? |
|
Definition
|
|
Term
| which type of osteomylitius is mostly one of new bone growth |
|
Definition
|
|
Term
|
Definition
(blood in bone goes into hairpin loops)
acute injury->blood stops->bacteria can grow-> obstruction->necrosis->
lowered host defenses |
|
|
Term
|
Definition
|
|
Term
| which age can involve the joints? |
|
Definition
|
|
Term
| what age involves thin cortex and loose peristeum |
|
Definition
|
|
Term
| what can children also involve |
|
Definition
|
|
Term
| which age group can the infection spread to adjacent tissues |
|
Definition
|
|
Term
symptoms are normally _
tey involve: |
|
Definition
localized
pain, swelling, warmth
decreased motion |
|
|
Term
| what does the lab show for osteomylitis |
|
Definition
WBC doesnt have to be elevated
ERC is elevated |
|
|
Term
| which are not reliable places to get culture from |
|
Definition
|
|
Term
how long before cna use a radiograph test
why? |
|
Definition
10-14 days
50% of matrix needs to be destoryed |
|
|
Term
| what is the best radiologic test to use |
|
Definition
|
|
Term
| hematogenous: sites involved in neotates |
|
Definition
|
|
Term
| hematogenous: sites involved in children |
|
Definition
|
|
Term
| hematogenous: sites involved in adults |
|
Definition
|
|
Term
| hematogenous: sites invovled IV druggie |
|
Definition
| sternal, pelvic, verrtebrae |
|
|
Term
| hematogenous: sites invovled in sickel cell |
|
Definition
|
|
Term
|
Definition
|
|
Term
| vascular insufficiency sites |
|
Definition
|
|
Term
| risk factors for hematogenous neonates |
|
Definition
| catheter, premie, RDS, asphysxia |
|
|
Term
| risk factors for children |
|
Definition
| trauma, infection, foot wound |
|
|
Term
| risk factors for adults hematogenous |
|
Definition
| UTI, vertebral injury, DM |
|
|
Term
| risk factors for contiguous |
|
Definition
|
|
Term
| risk factors for vascular insufficiency |
|
Definition
| DM, astherosclerosis, PVD |
|
|
Term
| what do you ALWAYS need to get for osteomylitius |
|
Definition
|
|
Term
| what bug do you always cover for in osteomylitis |
|
Definition
|
|
Term
| what can you use a 3rd generation Ceph for |
|
Definition
|
|
Term
| what immunization do you consider? |
|
Definition
|
|
Term
| what types of osteomylitits do you use broad spectrum abx |
|
Definition
| contiguous and vascular insifficiency |
|
|
Term
when do you see clinical resolution?
how long do you treat though? |
|
Definition
|
|
Term
|
Definition
oxygen hyperbaric chamber
surgical debridement |
|
|
Term
| who are candidates for oral treatment |
|
Definition
children who responded well to IV
adults w/o DM or PVD whose org responded to FQ |
|
|
Term
| what are the oral meds given to children |
|
Definition
| dicloxacillin, cephalexin, amoxil |
|
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