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NURS 3525- Musculoskeletal Disease Disorders Exam With Complete Solutions
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NURS 3525- Musculoskeletal Disease Disorders Exam With Complete Solutions...
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NURS 3525- Musculoskeletal Disease Disorders ExamWith Complete Solutions
Osteomyelitis
infection of bone and bone marrow, and surrounding tissue
most common cause of osteomyelitis
Staph aureus
indirect osteomyelitis
1 microorganism,
common in children <17 years
indirect osteomyelitis risk factors for adults
OA, debilitation, hemodialysis, sickle cell, IV drug use
common site for indirect osteomyelitis
vertebra
direct osteomyelitis
most common in adults, more than 1 microorganism involved
risk factor for direct osteomyelitis
open wounds (penetration, fracture, surgery)
, common site of direct osteomyelitis in DM pts
feet from vascular related issues
what is the reservoir for osteomyelitis?
sequestra (piece of dead bone tissue)
Acute osteomyelitis S/S
< 1 month,
constant bone pain, swelling, tenderness, warmth at infection site, restricted movement
at affected site, Systemic (fever, night sweats, chills, restlessness, nausea, malaise)
Chronic osteomyelitis S/S
continuous and persistent or exacerbation and remission
Systemic symptoms may be reduced
local signs more common
long term complication of osteomyelitis
septicemia (infx in blood)
septic arthritis (painful infx at joint)
pathologic fx (broken bone from dz)
amyloidosis ( inflammatory dz process that is part of an underlying dz)
diagnostic studies for osteomyelitis
bone or soft tissue biopsy, wound and blood cultures, WBC, ESR, CRP, X-ray, CT scan,
MRI, Radionuclide bone scan
goal of acute care for osteomyelitis
manage pain, avoid complications, adhere to tx plan
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