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Flashcards in musculoskeletal Deck (38):
1

osteomyelitis is most often caused by ________ (infection of the medullary bone)

bacteria

2

osteomyelitis may be _______ (outside-in) or _______ (inside-out)

exogenous
endogenous

3

open fratures, surgery, penetrating wounds, local injections, are all _________

exogenous

4

pathogens carried in the bloodstream from site of infection to bone, then to soft tissue, are _______

endogenous

5

if bacteria is in the soft tissue, such as cellulitis, it can spread to bone. this is _______

exogenous

6

if pathogen is carried in the bloodstream from site of infection to bone, then to _____ _____, it is _______ (more common in children, infants, older adults)

soft tissue
endogenous

7

sick cell anemia and low oxygen tension commonly cause _________ osteomyelitis

endogenous

8

superficial human bites are _______ ______ and cause _______ osteomyelitis

staph aureus
exogenous

9

if a superficial animal bite causes exogenous osteomyelitis, it is caused by _______ ______

pasteurella multocida

10

chronically ill and immunocompromised are very susceptible to _______ _______

exogenous osteomyelitis

11

the most common sites for endogenous (hematogenous) is ____, _____, and small bones

spine and pelvis (microorganisms travel through arteries, veins, or lymphatic vessels)

12

skin, ear, dental, sinus commonly cause ____________

endogenous osteomyelitis

13

soft tissue infections, GI disorders, GU infections, respiratory infections, all cause ________

endogenous osteomyelitis

14

the most common bacteria cause of hematogenous osteomyelitis is ____ _____

staph aureus

15

in children, osteomyelitis lifts off the _______, disrupts blood supply, leads to _____ and _____

periosteum
necrosis and sequestrum

16

in adults, the periosteum is firmly attached to the cortex, which becomes _____ and ______, leading to ______

weakened and disrupted
pathologic fractures

17

osteomyelitis may be acute __________, (`inadequate previous therapy), or ______

subacute
chronic

18

exogenous osteomyelitis will have ______ _____ signs of infection (abscess, exudate, local pain)

soft tissue

19

hematogenous has more _______ onset. Will present with malaise, _____, _____

gradual
fever, anorexia, weight loss

20

back pain that's worse with motion and also throbs at rest, is ______

acute spine osteomyelitis

21

WBC and ESR will be ______ .

extremely high

22

treat osteomyelitis with _________

IV antibiotics and debridement (surgery)

23

mycotic infections of the bone are _______ to a primary infection

secondary

24

candidiasis osteomyelitis patients are hospitalized, severely malnourished. Infection from __________

intravenous catheters

25

treat mycotic infections with _______

oral azole antifungals

26

mycobacterium tuberculosis travels to _____ and lies ____ until activated

bone
dormant

27

tuberculous arthritis usually affects _______ joint

one (monoarticular!)

28

reactive arthritis follows a ______ or ______ infection

GI or GU

29

reactive arthritis manifests as ____________

oligoarthritis that is sterile

30

very swollen toes, fingers heels are characteristic of ______ ______

reactive arthritis

31

treat reactive arthritis with ______

antibiotics

32

septic arthritis has _____ onset, inflammatory, ______articular, and affects __________ joints and wrists

acute
monoarticular

33

septic arthritis is very hot to tough. affects _____, _____, wrists

KNEE, hip (groin pain)

34

most common pathogen for septic arthritis is ______

staph auerus

35

lyme, borrelia burgdoferi (rocky mountain), viral are all other causes of ______

arthritis

36

gonococcal arthritis is most common in young women during ______ or pregnancy, or men who are having _________

menses
men having sex with men

37

polyarthralgias (joint pain that is always moving) is indicative of _______ _____

gonococcal arthritis

38

myositis may be viral, bacterial or parasitic. results from ______ changes in _____ muscle

inflammatory changes in skeletal muscle