– See: – Osteomyelitis Child < 3yrs – Septic Hip – Bacteriology: – between ages six months and two years, hemophilus influenza type B is the main pathogen in septic arthritis (30-50 %), followed by Staph aureus and strep; – in infants and children 1 … Read more
– See: – Osteomyelitis in New Born – Septic Hip – Bacteriology: – in hospital-acquired cases, staphylococci are the predominant isolates (about 60%), followed by Group B streptococcus, candida & gram-negative bacilli; – these infections often stem from invasive procedures such as … Read more
– Discussion: – a type of cyst which results from egress of fluid through a normal communication of a bursa (semimembranosus or medial gastrocnemius bursa) or may be caused by herniation of the synovial membrane through the joint capsule; – symptoms develope most often in bursa beneath the medial head of gastrocnemius … Read more
– See Human Bite – Bacteria Sensitive to Augmentin / Unasyn – staph aureus – along w/ streptococcus is the most common inciting organism in hand infections; – streptococcal Gr A beta hemolytic – shows cellulitis, lymphangitis, lymphadenopathy, fever, and a … Read more
– Discussion: – prevents conversion of purine bases by suppressing synthesis of guanine and adenosine; – RA Doses: 1-2.5 mg/kg/day; – onset of action is usually 12 to 24 weeks; – discontinuation of the drug is marked by a return in disease activity; – Toxicity: – most common toxicity is gastrointestinal including nausea, anorexia, and, … Read more
– Indications: – most often used for anterior shoulder reconstructions – Positioning: – beach chair w/ full access to posterior aspect of shoulder; – holding shoulder in flexion, will relax shoulder & facilitate exposure; – consider the Mconnel Shoulder Positioner; – references: … Read more
– Discussion: (See: Blood Supply to Femoral Head) – there are certain areas of bone in which vascular supply is precarious; – these areas are subject to infarction and avascular necrosis; – three such regions are head of femur, body of talus, & scaphoid; – they have the … Read more
– See: – Occipital-Atlanto-Axial Anomalies: – Anatomy of C1 / C2 – Discussion: – more common children, since the pediatric occipital condyles are small and almost horizontal & lack inherent stability; – this injury is usually but not invariably fatal 2nd to respiratory arrest caused by injury … Read more
– Discussion: – Cx & Gram’s staining are obligatory when infection is suspected. – Definitive diagnostic test is either the demonstration of bacteria by Gram’s stain, usually best seen on a concentrated sediment of centrifuged synovial fluid, or the recovery of bacteria from the synovial-fluid culture; – Gram’s stains are positive … Read more
– Discussion: – careful exam to identify crystals in synovial fluid can establish a dx early and avoid unnecessary hospital admissions for treatment of suspected infectious arthritis. – presence of crystals does not exclude infection, esp since abnormalities such as Gout may increase likelihood of septic arthritis; – cultures … Read more