Notes in 01_Osteomyelitis

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Published	02/10/2024	{{c1::Osteomyelitis}} refers to {{c2::inflammation in a bone and bone marrow, usually caused by bacterial infection.}}
Published	02/10/2024	The most common mode of infection in Osteomyelitis is{{c1::haematogenous spread}}
Published	02/10/2024	The most common organism that causes Acute Osteomyelitis in all age groups{{c1::Staph aureus}}
Published	02/10/2024	Clinical features of Acute Osteomyelitis in Infants (<1 yrs) Most common site around the {{c1::knee}} {{c1::Failure to thrive}} {{c1::Drowsine…
Published	02/10/2024	Clinical features of Acute Osteomyelitis in Children {{c1::Severe pain}} {{c1::Reluctancy to move}} {{c1::Fever}} {{c1::Tachycardia}} {{c1::Malaise: n…
Published	02/10/2024	Clinical features of Acute Osteomyelitis in Adults Most common primary OM site in adults is the {{c1::thoracolumbar spine}} {{c1::History of UTI or u…
Published	02/10/2024	Pathology of Osteomyelitis {{c1::Starts at Metaphysis}} {{c1::Vascular stasis causing (venous congestion + arterial thrombosis)}} {{c1::Acute inflamma…
Published	02/10/2024	Differential Diagnoses of Acute Osteomyelitis {{c1::Acute septic arthritis}} {{c1::Trauma (fracture, dislocation)}} {{c1::Acute inflammatory arthritis…
Published	02/10/2024	Complications of Acute Osteomyelitis {{c1::Metastatic infection (heart valves!)}} {{c1::Pathological fracture}} {{c1::Septic arthritis}} {{c1::Septica…
Published	02/10/2024	Complications of Chronic Osteomyelitis {{c1::Chronic discharge and flare-ups}} {{c1::Ongoing recurrent infection and abscesses}} {{c1::Growth disturba…
Published	02/10/2024	Important Investigations of {{c2::Osteomyelitis}}{{c1::X3 blood cultures at peak of temperature — (60% positive)}}{{c1::Leucocytosis (↑ FBC & WCC)…
Published	02/10/2024	First-line Investigation of Osteomyelitis{{c1::Bone biopsy (tissue or swabs from up to 5 sites around implant)}}{{c1::Aspiration of pus for cultu…
Published	02/10/2024	Management of Acute Osteomyelitis{{c1::Supportive treatment for pain and dehydration}}{{c1::Rest and Splintage}}{{c1::Antibiotics for 4-6 weeks: …
Published	02/10/2024	Should we start with (IV or Oral) antibiotics in Acute Osteomyelitis?{{c1::Start IV and switch to Oral within 7-10 days}}
Published	02/10/2024	What's the duration of antibiotics and how to assess treatment progression of Acute Osteomyelitis?{{c1::4-6 weeks of antibiotics. Depending on respons…
Published	02/10/2024	What's the choice of antibiotics before culture results in Acute Osteomyelitis?Empirical therapy with {{c1::flucloxacllin}} and {{c1::benzylpenic…
Published	02/10/2024	Management of Chronic Osteomyelitis{{c1::Long-term antibiotics (>6 months) (Local - Gentamicin or Systemic)}}{{c1::Surgical removal of infection}}{…
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