Osteomyelitis - Revision history

ClaireLewis at 19:25, 6 October 2019

2019-10-06T19:25:49Z

← Revisión anterior		Revisión del 19:25 6 oct 2019
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	==Background==		==Background==
	*Infection of the bone by bacteria or fungus		*Infection of the bone by [[bacteria]] or [[fungus]]
	*Etiology		*Etiology
	**Contiguous spread (80%)		**Contiguous spread (80%)
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	===Risk Factors===		===Risk Factors===
	*Diabetic patients with one or more of the following:		*[[DM\|Diabetic]] patients with one or more of the following:
	**Skin ulceration >2cm		**Skin ulceration >2cm
	**Positive probe-to-bone test		**Positive probe-to-bone test
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	*CT		*CT
	**Sn 67%, Sp 50%<ref>Pineda et al. Infect Dis Clin N Am. 2006, 20: 789–825</ref>		**Sn 67%, Sp 50%<ref>Pineda et al. Infect Dis Clin N Am. 2006, 20: 789–825</ref>
	*MRI is the standard for diagnosis (as early as 3-5 days after infection)<ref>Pineda C et al. Radiographic Imaging in Osteomyelitis: The Role of Plain Radiography, Computed Tomography, Ultrasonography, Magnetic Resonance Imaging, and Scintigraphy. Semin Plast Surg. 2009 May; 23(2): 80–89.</ref>		*[[Mri\|MRI]] is the standard for diagnosis (as early as 3-5 days after infection)<ref>Pineda C et al. Radiographic Imaging in Osteomyelitis: The Role of Plain Radiography, Computed Tomography, Ultrasonography, Magnetic Resonance Imaging, and Scintigraphy. Semin Plast Surg. 2009 May; 23(2): 80–89.</ref>
	*Bone scan is sensitive, but lacks specificity vs. MRI		*Bone scan is sensitive, but lacks specificity vs. MRI

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	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]
			[[Category:ID]]

Adamhaag at 15:12, 23 August 2017

2017-08-23T15:12:26Z

← Revisión anterior		Revisión del 15:12 23 ago 2017
Línea 25:		Línea 25:
	**May be normal early in the course		**May be normal early in the course
	**Later will show bone demineralization, periosteal elevation, lytic lesions		**Later will show bone demineralization, periosteal elevation, lytic lesions
			**Changes 10-21 days after infection
			**Sn 43-75%, Sp 75-83%<ref>Pineda et al. Semin Plast Surg 2009;23:80–89.</ref>
	*Blood culture		*Blood culture
			*CT
			**Sn 67%, Sp 50%<ref>Pineda et al. Infect Dis Clin N Am. 2006, 20: 789–825</ref>
	*MRI is the standard for diagnosis (as early as 3-5 days after infection)<ref>Pineda C et al. Radiographic Imaging in Osteomyelitis: The Role of Plain Radiography, Computed Tomography, Ultrasonography, Magnetic Resonance Imaging, and Scintigraphy. Semin Plast Surg. 2009 May; 23(2): 80–89.</ref>		*MRI is the standard for diagnosis (as early as 3-5 days after infection)<ref>Pineda C et al. Radiographic Imaging in Osteomyelitis: The Role of Plain Radiography, Computed Tomography, Ultrasonography, Magnetic Resonance Imaging, and Scintigraphy. Semin Plast Surg. 2009 May; 23(2): 80–89.</ref>
	*Bone scan is sensitive, but lacks specificity vs. MRI		*Bone scan is sensitive, but lacks specificity vs. MRI

Mholtz at 06:50, 13 July 2017

2017-07-13T06:50:30Z

← Revisión anterior		Revisión del 06:50 13 jul 2017
Línea 36:		Línea 36:

	==References==		==References==

	<references/>		<references/>

	[[Category:Pediatrics]] [[Category:Orthopedics]]		[[Category:Pediatrics]]
			[[Category:Orthopedics]]

Rossdonaldson1: Text replacement - ">" to ">"

2017-01-23T22:01:34Z

Text replacement - ">" to ">"

← Revisión anterior		Revisión del 22:01 23 ene 2017
Línea 9:		Línea 9:
	===Risk Factors===		===Risk Factors===
	*Diabetic patients with one or more of the following:		*Diabetic patients with one or more of the following:
	**Skin ulceration ~~>~~2cm		**Skin ulceration >2cm
	**Positive probe-to-bone test		**Positive probe-to-bone test
	**ESR ~~>~~70 (83-92% Sn)		**ESR >70 (83-92% Sn)
	**Abnormal x-ray		**Abnormal x-ray

Rossdonaldson1: Text replacement - "peds " to "pediatric "

2016-10-20T06:00:28Z

Text replacement - "peds " to "pediatric "

← Revisión anterior		Revisión del 06:00 20 oct 2016
Línea 4:		Línea 4:
	**Contiguous spread (80%)		**Contiguous spread (80%)
	**Hematogenous spread (20%)		**Hematogenous spread (20%)
	***More common in ~~peds~~ (long bones)		***More common in pediatric (long bones)
	***Less common in adults (spine)		***Less common in adults (spine)

Neil.m.young: Text replacement - " ==" to "=="

2016-08-03T12:45:57Z

Text replacement - " ==" to "=="

← Revisión anterior		Revisión del 12:45 3 ago 2016
Línea 1:		Línea 1:
	==Background ==		==Background==
	*Infection of the bone by bacteria or fungus		*Infection of the bone by bacteria or fungus
	*Etiology		*Etiology
Línea 35:		Línea 35:
	*[[Vertebral Osteomyelitis]]		*[[Vertebral Osteomyelitis]]

	==References ==		==References==

	<references/>		<references/>

	[[Category:Pediatrics]] [[Category:Orthopedics]]		[[Category:Pediatrics]] [[Category:Orthopedics]]

Rossdonaldson1: Text replacement - " dx" to " diagnosis"

2016-07-31T14:32:52Z

Text replacement - " dx" to " diagnosis"

← Revisión anterior		Revisión del 14:32 31 jul 2016
Línea 26:		Línea 26:
	**Later will show bone demineralization, periosteal elevation, lytic lesions		**Later will show bone demineralization, periosteal elevation, lytic lesions
	*Blood culture		*Blood culture
	*MRI is the standard for dx (as early as 3-5 days after infection)<ref>Pineda C et al. Radiographic Imaging in Osteomyelitis: The Role of Plain Radiography, Computed Tomography, Ultrasonography, Magnetic Resonance Imaging, and Scintigraphy. Semin Plast Surg. 2009 May; 23(2): 80–89.</ref>		*MRI is the standard for diagnosis (as early as 3-5 days after infection)<ref>Pineda C et al. Radiographic Imaging in Osteomyelitis: The Role of Plain Radiography, Computed Tomography, Ultrasonography, Magnetic Resonance Imaging, and Scintigraphy. Semin Plast Surg. 2009 May; 23(2): 80–89.</ref>
	*Bone scan is sensitive, but lacks specificity vs. MRI		*Bone scan is sensitive, but lacks specificity vs. MRI

Neil.m.young at 10:29, 28 July 2016

2016-07-28T10:29:47Z

← Revisión anterior		Revisión del 10:29 28 jul 2016
Línea 21:		Línea 21:
	{{Template:SSTI DDX}}		{{Template:SSTI DDX}}

	==~~Diagnosis~~ ==		==Evaluation==
	*X-ray		*X-ray
	**May be normal early in the course		**May be normal early in the course

Neil.m.young: Text replacement - "== " to "=="

2016-07-09T17:19:07Z

Text replacement - "== " to "=="

← Revisión anterior		Revisión del 17:19 9 jul 2016
Línea 1:		Línea 1:
	== Background ==		==Background ==
	*Infection of the bone by bacteria or fungus		*Infection of the bone by bacteria or fungus
	*Etiology		*Etiology
Línea 21:		Línea 21:
	{{Template:SSTI DDX}}		{{Template:SSTI DDX}}

	== Diagnosis ==		==Diagnosis ==
	*X-ray		*X-ray
	**May be normal early in the course		**May be normal early in the course
Línea 35:		Línea 35:
	*[[Vertebral Osteomyelitis]]		*[[Vertebral Osteomyelitis]]

	== References ==		==References ==

	<references/>		<references/>

	[[Category:Pediatrics]] [[Category:Orthopedics]]		[[Category:Pediatrics]] [[Category:Orthopedics]]

Neil.m.young: Text replacement - " ==" to "=="

2016-07-07T15:03:46Z

Text replacement - " ==" to "=="

← Revisión anterior		Revisión del 15:03 7 jul 2016
Línea 1:		Línea 1:
	== Background ==		== Background ==
	*Infection of the bone by bacteria or fungus		*Infection of the bone by bacteria or fungus
	*Etiology		*Etiology
Línea 21:		Línea 21:
	{{Template:SSTI DDX}}		{{Template:SSTI DDX}}

	== Diagnosis ==		== Diagnosis ==
	*X-ray		*X-ray
	**May be normal early in the course		**May be normal early in the course
Línea 35:		Línea 35:
	*[[Vertebral Osteomyelitis]]		*[[Vertebral Osteomyelitis]]

	== References ==		== References ==

	<references/>		<references/>

	[[Category:Pediatrics]] [[Category:Orthopedics]]		[[Category:Pediatrics]] [[Category:Orthopedics]]