Data Trace Editor – Discussion: – anterior tibiofibular ligament disruption; – frx of fibula by external rotation or abduction injury is often preceded by rupture of anterior tibiofibular ligament; – according to Lauge-Hansen (1950), this ligament injury (or an eqivalent frx) always proceeds … Read more
* Arrhythmia: * Consider Sinus Tach due to CHF/Pain/Anxiety * Rx of Cardiogenic Shock * Syncope * Stroke * Rx CHF / SOB – may develop in > 50% of pts, many will resolve within 48 hrs; – this is an acute process, normal heart size, little retention of NaCl/H2O; – CHF is due to … Read more
– See: – Bursae of the Knee – Septic Arthritis – Diff Dx: – referred pain from the hip – osteochondritis dissecans – traumatic internal derangement – distal femoral or proximal tibial osteomyelitis – septic bursitis: – … Read more
– open joint injuries – septic knee – septic hip: – pediatric septic hip – adult hip: – references: – Sepsis of the hip in paraplegic patients. – Hematogenous septic arthritis of the adult hip. – Ruptured aneurysm of the common iliac artery as a cause of unilateral hip pain – SI Joint: – … Read more
– Treatment Based on Age: – less than 3 months – up to 60-100% of neonates w/ septic arthritis have adjacent osteomyelitis. – septic arthritis is both more common and more often associated w/ metaphyseal osteomyelitis in neonates than in older children; – may occur from transphyseal blood vessels (see epiphyseal vessels), which … Read more
– See: – septic arthritis – general orders and treatment – Discussion: – septic arthritis of the hip is a surgical emergency; – it is essential that dx be made ASAP to prevent joint damage; – if any pus is obtained from arthrotomy, … Read more
– Pts w/ RA: – may be prone to bacterial infections because of inherent phagocytic defect or because of long-term oral or intraarticular administration of corticosteroid or other immunosuppressive agents; – staph. aureus is recovered from 80 % infected rheumatoid joints; Nongonococcal Bacterial Arthritis in Adults Treated at Boston U.Med Center; … Read more
Diff Dx » Evaluation (before antibiotics are infused) synovial fluid analysis culture & gram’s stain; leukocyte count glucose and viscosity (both decreased w/ infection); blood culture, CBC, CRP, & sed rate radiographs (and possibly ultrasound): need to rule out concomitant metaphyseal osteomyelitis; misc: bone scans Treatment based on antimicrobial suseptabilities as well as patient age: … Read more
– Diff Dx: – reactive transient synovitis (toxic synovitis) – in the report by Kocher MS et al., the authors sought to distinguish transient synovitis vs sepsis on the basis of lab data and patient history; – independent clinical predictors between … Read more
– the effects of endotoxins have been blamed for all the effects of Gm neg septicemia; – hyperpyrexia, vasoconstriction followed by vasodilation, … – the initial clinical symptom of bacilemia is usually a shaking chill; – it is not unusual for the patient to initially have an elevated BP followed by a marked fall … Read more