Osteomyelitis 

  • Hematogenous (most common), direct or adjacent spread.
  • Staphiloccocus aureus MOST COMMON
  • Neisseria gonorrhoeae if sexually active.
  • Salmonella if pt has sickle cell disease
  • Pseudomona of pt is an IVDA or has DM
  • Fever, leukocytosis, localized swelling, erythema and pain.
  • X-Ray: normal for 2 weeks, then PERIOSTEAL ELEVATION (onion skinning lesion- 1st pic) also seen in osteosarcoma and Ewings sarcoma.
  • Pus, vascular insufficiency (vessels destroyed), ischemic necrosis, Sequestrum (necrotic bone) and Involucrum (new bone formation)
  • Blood culture, Bone bx and culture
  • Tx: antibiotics, surgical drainage
  • Complications: fracture, 2° amyloidosis, sinus tract formation, SCC of skin (from drainage), Broddie’s abscess (2nd pic)
  1. callmedr-jimenez reblogged this from mynotes4usmle
  2. usmle1mikmonics reblogged this from mynotes4usmle and added:
    Osteomyelitis -yelit OM… kids who meta-tate (meditate) have good AURA’s metaphysis, staph AUReus, sitting (seeding...
  3. geaninaaa reblogged this from endlessmd
  4. drwaqar reblogged this from mynotes4usmle
  5. obsessedindifference reblogged this from mynotes4usmle
  6. medicalscribe reblogged this from md-admissions
  7. medicineartandmusic reblogged this from futurewhitecoat
  8. futurewhitecoat reblogged this from md-admissions
  9. rosebuds-of-daydreams reblogged this from md-admissions
  10. md-admissions reblogged this from fyeahmedlab
  11. prez-doe reblogged this from medicineatcucs
  12. medicineatcucs reblogged this from nandowo
  13. spoonsofjoy reblogged this from mouseinscrubs
  14. mouseinscrubs reblogged this from fuckyeahnarcotics
  15. polymethodic reblogged this from ajora
  16. ajora reblogged this from fyeahmedlab
  17. 1ofthecurious reblogged this from fyeahmedlab
  18. meditermsandthings reblogged this from fyeahmedlab
  19. endlessmd reblogged this from panacea-mjjr
  20. panacea-mjjr reblogged this from a-medical-life
  21. a-medical-life reblogged this from fyeahmedlab
  22. nandowo reblogged this from fyeahmedlab
  23. fyeahmedlab reblogged this from fuckyeahnarcotics