septic arthritis exam 2 Flashcards Preview

LA SX LEC > septic arthritis exam 2 > Flashcards

Flashcards in septic arthritis exam 2 Deck (31)
Loading flashcards...
1
Q

what are some iatrogenic causes of septic arththris

A

arthroscopy, arthrocentesis, fracture repair

2
Q

what is the pathogenesis for septic arthritis

A

loss of PG

jt effusion

painful

compromose synovial blood flow

3
Q

what are some complications with septic arthtiris

A

euthanasia

contralateral limb lamness

4
Q

what are some complications with septic arththris

A

djd

acute synoviits with suppurative effusion

capsular fibrisosis

5
Q

what are the types of septic arthritis in foal

A

S,E,P

6
Q

in the s type what age does it affect

A

<1 week

7
Q

what are cs seen with septic arthriitis

A

severe lameness, and effusion

8
Q

are multiple joints affected in the s type

A

si :)

9
Q

what are the most common jts affect with the s type

A

tibiotarsal and stilfe

10
Q

are there multiple jts involved in the e type

A

si!

11
Q

at what age does e type affect

A

weeks old

12
Q

what are the most common jts affected in e type

A

distal femur, talus, tibia, and radius

13
Q

what are cs seen in e type

A

mild intermittent lameness, fever, then acute exacerbation of lameness effusion

14
Q

what age is seen in the p type

A

weeks to months

15
Q

does the p type affect more than one jt??

A

usually only one site!

16
Q

what are the sites seen in the p form

A

distal physis of MC3 AND MT3, radius, tibia

17
Q

would we like to debride the p type

A

NO WAY! will damage physis casusing premature closure

18
Q

in the synovial fluid of a foal with septic arthritis what color will you see

A

normal to cloudy,red, orange, and pink

19
Q

what will be the synovial cell count with a foal with septic arthritits

A

>50,000 cell count >90%neut

20
Q

foal- you must ID all jts involved and U/S what?

A

the umbilicus

21
Q

what is the most common risk factor with adults with septic arthritis

A

iatrogenic

22
Q

T/F an open jt is an infected jt in adults

A

YES!SO TRUE

23
Q

if abx and not getting better what should u do

A

fungal culture

24
Q
A

should i know this?

25
Q

why should you tap away from the wound

A

you can possibly infect it

26
Q

to be successful must have rapid recognititon of dz n immediate aggresssive tx T OR F

A

true

27
Q

what is the mainstay tx for septic arthtriits

A

LAVAGE LARGE VOL OF 5-10L

28
Q

Do we add chlorhexidine and iodine to lavage?

A

NO!

it doesnt work and causes inflammation

29
Q

when do we stop abx

A

minimum of 30d and 2weeks beyond resolutionof cs

30
Q

what is the caution when tx multiple jts

A

DONT EXCEED DAILY TOTAL SYSTEMIC DOSE

31
Q

what do we need to remember about NSAIDS

A

they can mask pain false impresion of sucess