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
All of the following is false except one
Anonymous Quiz
51%
Acute osteomyelitis duration first 4 weak
10%
Sub acute osteomyelitis from 5weak to 8weak
38%
Chronic osteomyelitis over 8weak
In acute hematogenous osteomyelitis , which bone is mainly infected๐๐ป
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
Infant bone infection , which part of bone infected?
Anonymous Quiz
21%
Epiphysis
13%
Metaphysis
64%
Epiphysis and metaphysis
3%
Diaphysis and metaphysis
0%
Epiphysis and diaphysis
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
What the treatement in inflammation phase?
First one
First one
Anonymous Quiz
64%
Antibiotic broad spectrum without knowledge the organsim that affect bone and joint
2%
Drinage
1%
Surgery
30%
Antibiotic broad spectrum with knowledge the organsim that affect bone and joint
3%
Culture
โค1
ุจุงุนูุง ูู ุงูููุฑุฉ ููู ูู
ุงุจู ุนุฏูุง ุงุฑุจุน ุจูุชุฑูุงุช ุญุงูููุง ุชุญูุธููุง ูุจู ู
ูุจุฏู
1-s.areous ูุงู most common
2-H.influenza ูุงู ููุนู ุฑูู ุงูู ู ู 4 ุณููู
3- Group B. Streptococcus ูุงู ูู infant
4-salmonella ูุงู ููู ุนุฏูู . Sickle cell anemia
Case1
ุทูู ุจุงูู ุดูุฑ ู ู ุนู ุฑู neonate ุตุงุนุฏู ุญุฑุงุฑุชู ููุด ุนุงููุฉ ูู ุฏุชูุฒู ุจุงููู ุงุฏุงุช ูุฌุงุจูุง ููุทูุงุฑุฆ ุงุฌู ุงูุฏูุชูุฑ ููููู ุญุฑุงุฑุชู ู ุฑุชูุนุฉ
ููู ุงููุง ุงูุทุจูุนู ููุทู broad spectrum
ููุง ููุน ู ู ุงูุจูุชุฑูุง ?
Streptococcus
ูุงู ูู ุงูุซุฑ ุดูุก ุชุตูุจ ุงูุงุทูุงู neonate๐๐ป
ูุฑุงูุง ูุณูู culture ูุชุทูุน ูุชูุฌุฉ ููุญูู specific antibiotic
Case 2
ุงุฌุงูู ุทูู ุนู ุฑู ุงุตุบุฑ ู ู 4 ุณููุงุช
ููุทูุงุฑุฆ ูู ุนุฏู ุญุฑุงุฑุฉ ูู ุฏุชูุฒู
ููุฌู ูููุฑ ุจูH.influenza
broad spectrum ุงููุง ุจุตูุฑุฉ ุงุฎุต ูุจุตูุฑุฉ ุนุงู ู ููุงุฑุจุนุฉ ุงูููู
ููู ูุณูู culture
ูุดูู antibiotic?
Cephalosporin new generation (3rd)
Cefotaxim(claforan)
Case3
ุงุฐุง ุฌุงู ุนู ุฑู old child ูุนูู ููู 4. ููููุฑ ุจูstaphylococcus areus
ุดููุทู ุฏูุฉุ
Broad antibiotic
ูุงููู ู ููู ุ
Fulcloxacilline +fucidic acid (iv for 1-2 weak then oral for 3-6weak)
1-s.areous ูุงู most common
2-H.influenza ูุงู ููุนู ุฑูู ุงูู ู ู 4 ุณููู
3- Group B. Streptococcus ูุงู ูู infant
4-salmonella ูุงู ููู ุนุฏูู . Sickle cell anemia
Case1
ุทูู ุจุงูู ุดูุฑ ู ู ุนู ุฑู neonate ุตุงุนุฏู ุญุฑุงุฑุชู ููุด ุนุงููุฉ ูู ุฏุชูุฒู ุจุงููู ุงุฏุงุช ูุฌุงุจูุง ููุทูุงุฑุฆ ุงุฌู ุงูุฏูุชูุฑ ููููู ุญุฑุงุฑุชู ู ุฑุชูุนุฉ
ููู ุงููุง ุงูุทุจูุนู ููุทู broad spectrum
ููุง ููุน ู ู ุงูุจูุชุฑูุง ?
Streptococcus
ูุงู ูู ุงูุซุฑ ุดูุก ุชุตูุจ ุงูุงุทูุงู neonate๐๐ป
ูุฑุงูุง ูุณูู culture ูุชุทูุน ูุชูุฌุฉ ููุญูู specific antibiotic
Case 2
ุงุฌุงูู ุทูู ุนู ุฑู ุงุตุบุฑ ู ู 4 ุณููุงุช
ููุทูุงุฑุฆ ูู ุนุฏู ุญุฑุงุฑุฉ ูู ุฏุชูุฒู
ููุฌู ูููุฑ ุจูH.influenza
broad spectrum ุงููุง ุจุตูุฑุฉ ุงุฎุต ูุจุตูุฑุฉ ุนุงู ู ููุงุฑุจุนุฉ ุงูููู
ููู ูุณูู culture
ูุดูู antibiotic?
Cephalosporin new generation (3rd)
Cefotaxim(claforan)
Case3
ุงุฐุง ุฌุงู ุนู ุฑู old child ูุนูู ููู 4. ููููุฑ ุจูstaphylococcus areus
ุดููุทู ุฏูุฉุ
Broad antibiotic
ูุงููู ู ููู ุ
Fulcloxacilline +fucidic acid (iv for 1-2 weak then oral for 3-6weak)
Infant=epiphysis(most)+metaphysis
Child=metaphysis only
Adult=all bone๐๐ป
Child=metaphysis only
Adult=all bone๐๐ป
โค1
Pathology of infected boneโฌ๏ธ
ุญุดุฑุญูุง ุฑูููุฑุฏ ูู ูุญุจ ูููู ูุง๐๐ป
ุญุดุฑุญูุง ุฑูููุฑุฏ ูู ูุญุจ ูููู ูุง๐๐ป
Study room 808
Voice message
ุงูู ุซููู inflammation and supperation
ุดููู ูุชุดุฎุต ุ clincal
ุฒูู ุดููุช ููุฏุฑ ูุดุฎุตุฉ ุนู ุทุฑูู xray?
ูุฑุฉ ุงุณุจูุน
ุงููุง ุงููุงุตุช ูุชุญูู necrosis๐คฃ
ุฒูู ุดููุช ููุฏุฑ ูุดุฎุตุฉ ุนู ุทุฑูู xray?
ูุฑุฉ ุงุณุจูุน
ุงููุง ุงููุงุตุช ูุชุญูู necrosis๐คฃ
ุดุฑุงุญ ูุดูู ุจุงูู 10 ุงูุงู
ุ ุจุณ ุงูู soft tissue swelling
ุฒูู ูุฑุง ุนุดุฑ ุงูุงู ุดูุดูู ุ ู ูู
1-refraction of metaphysis
2-periosteal new bone formation
(Involcrum+cloacae)
3- radiolucent line between sequestra and surrounding bone
ุฒูู ูุฑุง ุนุดุฑ ุงูุงู ุดูุดูู ุ ู ูู
1-refraction of metaphysis
2-periosteal new bone formation
(Involcrum+cloacae)
3- radiolucent line between sequestra and surrounding bone
Culture shoud be done before antibiotics taken
ูู ุจุงุดุฑุฉ ูุจูุด ูุฑุงู Broad antiboitic
ูู ุจุงุดุฑุฉ ูุจูุด ูุฑุงู Broad antiboitic