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Infection bone
โค1
Study room 808 pinned ยซInfection boneยป
All of the following is true about local host factor of bone infection except one
Anonymous Quiz
15%
Peripheral nerve neuropathy
65%
Increase vascularity
13%
Truma
7%
Presence of implant
In acute hematogenous osteomyelitis , which bone is mainly infected๐Ÿ‘๐Ÿป
Anonymous Quiz
10%
Upper limb
46%
Lower limb
2%
Head
42%
Vertbrate
Which organsim infection the younger child and neonate?
Anonymous Quiz
31%
S.aureus
39%
H.influenze
28%
Groub B streptococcus
2%
Salmonella
Patient with skill cell anemia which organism cause bone infection
Anonymous Quiz
7%
S.aureus
13%
H.influenze
6%
Group B streptococcus
73%
Salmonella
Children have bone infection ,which part of bone is start infection
Anonymous Quiz
21%
Epiphysis
10%
Diaphysis
68%
Metaphysis
What the clincal feature of inflammation phase of bone
Anonymous Quiz
8%
Pain only
32%
Pain and fever
54%
Pain and tenderness
6%
Fever only
1%
Tenderness only
ุงูƒุชุจู‡ุง ูƒูƒูŠุณุŸ
โค2
ู„ูˆ ู…ูŠุญุชุงุฌ ุจุนุฏ
ุจุงุนูˆุง ู‡ูˆ ุงู„ููƒุฑุฉ ูƒู„ู‡ ูˆู…ุงุจูŠ ุนุฏู†ุง ุงุฑุจุน ุจูƒุชุฑูŠุงุช ุญุงูˆู„ูˆุง ุชุญูุธูˆู‡ุง ู‚ุจู„ ู…ู†ุจุฏูŠ
1-s.areous ู‡ุงูŠ most common
2-H.influenza ู‡ุงูŠ ู„ู„ุนู…ุฑู‡ู… ุงู‚ู„ ู…ู† 4 ุณู†ูŠู†
3- Group B. Streptococcus ู‡ุงูŠ ู„ู„ infant
4-salmonella ู‡ุงูŠ ู„ู„ูŠ ุนุฏู‡ู…. Sickle cell anemia

Case1
ุทูู„ ุจุงูˆู„ ุดู‡ุฑ ู…ู† ุนู…ุฑู‡ neonate ุตุงุนุฏู‡ ุญุฑุงุฑุชู‡ ูƒู„ุด ุนุงู„ูŠุฉ ูˆู…ุฏุชู†ุฒู„ ุจุงู„ูƒู…ุงุฏุงุช ูˆุฌุงุจูˆุง ู„ู„ุทูˆุงุฑุฆ ุงุฌู‡ ุงู„ุฏูƒุชูˆุฑ ูƒู„ูˆู„ู‡ ุญุฑุงุฑุชู‡ ู…ุฑุชูุนุฉ
ูู‡ูˆ ุงู‡ู†ุง ุงู„ุทุจูŠุนูŠ ูŠู†ุทูŠ broad spectrum
ู„ูŠุง ู†ูˆุน ู…ู† ุงู„ุจูƒุชุฑูŠุง ?
Streptococcus
ู„ุงู† ู‡ูŠ ุงูƒุซุฑ ุดูŠุก ุชุตูŠุจ ุงู„ุงุทูุงู„ neonate๐Ÿ‘๐Ÿป
ูˆุฑุงู‡ุง ูŠุณูˆูŠ culture ูˆุชุทู„ุน ู†ุชูŠุฌุฉ ูˆู†ุญูˆู„ specific antibiotic



Case 2
ุงุฌุงู†ู‡ ุทูู„ ุนู…ุฑู‡ ุงุตุบุฑ ู…ู† 4 ุณู†ูˆุงุช
ู„ู„ุทูˆุงุฑุฆ ู‡ู… ุนุฏู‡ ุญุฑุงุฑุฉ ูˆู…ุฏุชู†ุฒู„
ููŠุฌูŠ ู†ููƒุฑ ุจู„H.influenza
broad spectrum ุงู„ู‡ุง ุจุตูˆุฑุฉ ุงุฎุต ูˆุจุตูˆุฑุฉ ุนุงู…ู‡ ู„ู„ุงุฑุจุนุฉ ุงู„ููˆูƒ
ูˆู‡ู… ู†ุณูˆูŠ culture
ูˆุดู†ูˆ antibiotic?
Cephalosporin new generation (3rd)
Cefotaxim(claforan)
Case3
ุงุฐุง ุฌุงู† ุนู…ุฑู‡ old child ูŠุนู†ูŠ ููˆูƒ 4. ูู†ููƒุฑ ุจู„staphylococcus areus
ุดู†ู†ุทูŠ ุฏูˆุฉุŸ
Broad antibiotic
ูŠุงู‡ูˆู‡ ู…ู†ู‡ู…ุŸ
Fulcloxacilline +fucidic acid (iv for 1-2 weak then oral for 3-6weak)
Infant=epiphysis(most)+metaphysis

Child=metaphysis only

Adult=all bone๐Ÿ‘๐Ÿป
โค1
Pathology of infected boneโฌ‡๏ธ
ุญุดุฑุญู‡ุง ุฑูŠูƒูˆุฑุฏ ู„ูŠ ูŠุญุจ ูŠูู‡ู…ู‡ุง๐Ÿ‘๐Ÿป
Study room 808
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ุงูˆู„ ุซู†ูŠู† inflammation and supperation