Infections of the Bone and Joint

Question 1

What is the next best step if you think someone has gout or infectious arthritis?

Answer 1

JOINT ASPIRATION

Question 2

What is the most common path of entry for bacteria to access the joint space?

Answer 2

Hematogenous spread

Question 3

The most common context found in a patient history is…

Answer 3

Prosthetic joint or previously damaged joint (especially in the elderly

Question 4

Infectious arthritis mono or polyarticular?

Answer 4

MONOARTICULAR

Question 5

Most common infectious agent in….Neonates? Adolescents and young adults? Older children and adults? Sickle Cell Disease?

Answer 5

Neonates=H. Influenza or Kingella
Late adolescents/sexually active= Gonococcus
Adults/general pop.=S. Aureus
Sickle Cell Patients= Salmonella

Question 6

Symptoms on physical exam of septic arthritis

Answer 6

Erythema
Warmth
Swelling
Tenderness
Fever
Limited ROM