Osteomyelitis: Difference between revisions
(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 | |||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Ortho]] | |||
Revision as of 23:14, 7 June 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