2023-12-03T04:21:57+03:00[Europe/Moscow] en true <p>osteomyelitis </p>, <p>septic arthritis </p>, <p>a</p>, <p>b</p>, <p>c</p>, <p>vascular insufficiency due to: diabetes, PVD, pressure sores</p>, <p>puncture injury, trauma</p>, <p>prematurity, infection, ASCVD, sickle cell, T2DM</p>, <p>long bones, joints, vertebrae </p>, <p>femur, tibia, mandible</p>, <p>foot</p>, <p>IV drug use, prosthetic joints, uncontrolled diabetes</p>, <p>s.aureus, strep</p>, <p>staph, strep, pseudomonas, anaerobes</p>, <p>tenderness, redness, pain, swelling </p>, <p>ESR, CRP, WBC</p>, <p>vertebral; prosthetic joint </p>, <p>hold AB's until bacterial diagnosis </p>, <p>empiric AB's while waiting for cultures</p>, <p>staph. aureus, strep, gonorrhea</p>, <p>d</p>, <p>e</p>, <p>b</p>, <p>surgical management </p>, <p>c</p>, <p>add rifampin </p>, <p>cefepime</p>, <p>3-4 weeks</p>, <p>4-6 weeks; longer for MRSA</p> flashcards
Bone & Joint Infections

Bone & Joint Infections

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  • osteomyelitis

    -inflammation of the bone

  • septic arthritis

    -inflammation of the joints caused by infectious agents

  • a

    Infection spread through the blood.

    a) hematogenous

    b) contiguous

    c) inoculation

  • b

    Infection is acquired via adjoining tissue.

    a) hematogenous

    b) contiguous

    c) inoculation

  • c

    Which is usually a result of direct implantation; secondary to trauma or surgery?

    a) hematogenous

    b) contiguous

    c) inoculation

  • vascular insufficiency due to: diabetes, PVD, pressure sores

    What are the risk factors for Contiguous Osteomyelitis? (3)

  • puncture injury, trauma

    What are the risk factors for Inoculation Osteomyelitis? (2)

  • prematurity, infection, ASCVD, sickle cell, T2DM

    What are the risk factors for Hematogenous Osteomyelitis? (5)

  • long bones, joints, vertebrae

    What are the typical sites of Hematogenous Osteomyelitis? (3)

  • femur, tibia, mandible

    What are the typical sites of Contiguous Osteomyelitis? (3)

  • foot

    What are the typical sites of Inoculative Osteomyelitis?

  • IV drug use, prosthetic joints, uncontrolled diabetes

    What has led to an increase in Osteomyelitis? (3)

  • s.aureus, strep

    Which bacteria are usually the cause of Hematogenous Osteomyelitis? (2)

  • staph, strep, pseudomonas, anaerobes

    Which bacteria are usually the cause of Contiguous Osteomyelitis? (4)

  • tenderness, redness, pain, swelling

    What are the symptoms of Osteomyelitis? (4)

  • ESR, CRP, WBC

    Which labs do we look at in Osteomyelitis? (3)

  • vertebral; prosthetic joint

    What locations in the body are there guidelines for treating osteomyelitis?

  • hold AB's until bacterial diagnosis

    If a patient has Vertebral Osteomyelitis and they are stable, how do we proceed?

  • empiric AB's while waiting for cultures

    If a patient has Vertebral Osteomyelitis and they are unstable, how do we proceed?

  • staph. aureus, strep, gonorrhea

    What are common pathogens involved in Septic arthritis? (3)

  • d

    A patient has been diagnosed with Septic Arthritis and the pathogen is Staph. Aureus; what do we treat them with?

    a) clindamycin

    b) ceftriaxone

    c) doxycycline

    d) vancomycin

  • e

    A patient has been diagnosed with Septic Arthritis and the pathogen is streptococci; what do we treat them with?

    a) clindamycin

    b) ceftriaxone

    c) doxycycline

    d) vancomycin

    e) either A or B

  • b

    A patient has been diagnosed with Septic Arthritis and the pathogen is gonorrhea; what do we treat them with?

    a) clindamycin

    b) ceftriaxone

    c) doxycycline

    d) vancomycin

  • surgical management

    What is essential in Prosthetic Joint Infections?

  • c

    What is the most common pathogen in Prosthetic Joint Infections?

    a) gonorrhea

    b) streptococci

    c) staphylococci

    d) staph. aureus

  • add rifampin

    How do we treat staphylococci-induced Prosthetic Joint infections?

  • cefepime

    Which AB has the highest cancellous bone concentration?

  • 3-4 weeks

    How long does it take for bone to revascularize?

  • 4-6 weeks; longer for MRSA

    How long is the treatment duration?