Diferencia entre revisiones de «Osteomyelitis»

(Created page with "==Background== *usu hematogenous spread starting @ metaphysis b/c wbc cannot exit there, minor trauma= osteo in rabbits post staph inj(x). *age >2, immunecompetent Rx for stap...")
 
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==Background==
==Background==
 
*usu hematogenous spread starting @ metaphysis b/c wbc cannot exit there, minor trauma= osteo in rabbits post staph inj(x)
 
*usu hematogenous spread starting @ metaphysis b/c wbc cannot exit there, minor trauma= osteo in rabbits post staph inj(x).
 
*age >2, immunecompetent Rx for staph strep, only need bone if <2 b/c other causes ie e. coli
*age >2, immunecompetent Rx for staph strep, only need bone if <2 b/c other causes ie e. coli


==Diagnosis==
==Diagnosis==
*usu rubor, dolor etc at about 3-5 days, no xr changes until 10 days
*usu rubor, dolor etc at about 3-5 days, no xr changes until 10 days


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*Order xr, cbc, crp, bcx,
*Order xr, cbc, crp, bcx,


==Treatment==
==Treatment==
 
ancef or ox
 
Rx= ancef or ox
 
 
 


[[Category:Peds]]
[[Category:Peds]]
[[Category:Ortho]]

Revisión del 23:14 7 jun 2011

Background

  • usu hematogenous spread starting @ metaphysis b/c wbc cannot exit there, minor trauma= osteo in rabbits post staph inj(x)
  • age >2, immunecompetent Rx for staph strep, only need bone if <2 b/c other causes ie e. coli

Diagnosis

  • usu rubor, dolor etc at about 3-5 days, no xr changes until 10 days
  • Bcx alone= org 50% of time, w/ bone & bcx get 70% of org!
  • Order xr, cbc, crp, bcx,

Treatment

ancef or ox