Term
| What are some signs of septic arthritis according the lecturer? |
|
Definition
1) pain out of proportion
2) swelling/limited ROM
3) low grade temp
4) redness
5) warmth |
|
|
Term
| How does most bacteria enter the joint in septic arthritis? |
|
Definition
|
|
Term
| what suggests synovitis in the physical exam in septic arthritis? |
|
Definition
| pain with passive motion of a joint or palpation of the joint capsule |
|
|
Term
| What lab should be done with suspected septic arthritis? (4) |
|
Definition
1) synovial fluid exam
2) WBC w/differential
3) CRP,ESR
4) Crystal exam |
|
|
Term
| Neisseria honorrhoeae most commonly affects what joint? |
|
Definition
|
|
Term
| Treatment for N. Gonnorhea infections in septic arthritis? |
|
Definition
1) ceftriaxone 2g IM or IV
2) ciprofloxacin 500mg BID |
|
|
Term
| What is the most common cause of septic arthritis especially in IV drug users? |
|
Definition
|
|
Term
| How is S. auerus infection treated for septic arthritis? |
|
Definition
1) vancomycin 1 g IV
2) followed for 4-6 weeks with sensitive med |
|
|
Term
| What is the 2nd most common cause of septic arthritis, especially in diabetics? |
|
Definition
| Non-group A, hemolytic streptococci |
|
|
Term
| What is a common cause of osteomylitis in sickle cell patients? |
|
Definition
|
|
Term
| What do you use to treat salomenall infections of osteomylitis? |
|
Definition
|
|
Term
| elderly patients get septic arthritis with what? |
|
Definition
|
|
Term
| Which joints are more commonly affected with IV drug users? |
|
Definition
|
|
Term
| What is the most common infecting organism in people with prosthetic joints? |
|
Definition
|
|
Term
What do you use to treat?
1) gram-positive cocci
2) gram-negative cocci
3) no organism health
4) no organism comorbid condition |
|
Definition
1) vancomycin
2) ceftriaxone
3) ceftriaxone
4) vancomycin |
|
|
Term
| which bones are more commonly involved with osteomylitis for children 1-15 and adults? |
|
Definition
children - femur and tibia
Adults - vertebral bodies |
|
|
Term
| What is the most common infecting organism seen in 60-90% of osteomylitis cases? |
|
Definition
|
|
Term
| What is the most common cause of osteomyltis in newborns? |
|
Definition
| GBS, gram-negative bacilli |
|
|
Term
| osteomylitis form vascular insuffiency is most commonly seen in patients with what? |
|
Definition
1) diabetes mellitus
2) peripheral vascular disease from atherosclerosis |
|
|
Term
| What is the gold standard for diagnosis of osteomylitis? |
|
Definition
| bacterial cultures of bone specimens |
|
|
Term
| What should be the initial diagnostic test of choice for osteomylitis? |
|
Definition
|
|
Term
| What is the treatment for hematogenous osteomylitis? |
|
Definition
| IV antibiotics for 4-14 days followed by oral antibiotics for 14-26 days in children. Adults 4-6 weeks of antibiotics |
|
|
Term
| What is the treatment of choice for S. aureus osteomylitis? |
|
Definition
| IV vancomycin for 2 weeks |
|
|
Term
| Mycobacterium marinum is acquired through exposure of what and involves what? |
|
Definition
| acquired through freshwater, seawater, swimming pool and fish tanks. Most commonly affects the MCP and PIP joints |
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