Week 2.6 Osteomyelitis Flashcards Preview

Advanced Clinical Practice Complex Patient > Week 2.6 Osteomyelitis > Flashcards

Flashcards in Week 2.6 Osteomyelitis Deck (15)
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how does acute osteomyelitis present

pain and tenderness in the affected area, described as deep and constant, which will cause an antalgic gait. inflammation, redness, warmth, fever, chills, sweating, nausea, malaise, swelling, may have pus or purulence.


clinical presentation of vertebral osteomyelitis

localized LBP and tenderness, paravertebral muscle spasms, and radicular pain, extremity weakness causing SCI or nerve root compression


chronic osteomyelitis clinical presentation

pain for month, intermittent bone pain and tenderness, not as painful as acute osteomyelitis.


what are the three categories of the prosthetic joint infections

early less than 3 months post surgery
delayed 3-24 months
late (over 24 months)


describe the early phase of joint infection

can get sinus tracts near incision, and have acute symptoms


describe the delayed phase

lack systemic symptoms, but have joint pain and joint loosening.


describe the late phase of joint infection

blood born infection that is seeding into the joint. joint pain, unexplained onset of increasing MSK symptoms in prosthetic joint


what kinds of patient are at risk for osteomyelitis

malnutrition, renal and hepatic failure, immune disease, chronic hypoxia, extremes of age, impaired circulation
Deep pressure ulcers
IV drug users
s/p open fractures and implanted devices.


what kind of lab work will be done

CBC: leukocytosis, elevated ESR and C-reactive protein


what kinds of scans will be done

x-ray (not diagnostic)
CT (can show adjacent infection s or abscesses)
Bone Scan: can't distinguish between infection, fractures and tumors


what about a bone biopsy is important

to give definitive antibiotic treatment because we can culture what the actual infection is


what is the role of PT in monitoring an preventing this

watch for pus at the incision line, and other clinical presentations


how do you treat it

long term IV use, vancomycin, and 3rd/4th generation cephalosporin


why might they need surgery

to drain the abscess, and for spinal instability, or to debride the dead bone. or remove the devices that are causing harm


TF: you may need wound care and or amputation