Osteomyelitis

Revision as of 06:08, 27 September 2011 by Jswartz (talk | contribs) (moved Osteomyelitis (Peds) to Osteomyelitis over redirect)

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