Acute and Chronic Osteomyelitis
Acute Osteomyelitis Orthopaedic Diagnosis History 2) Past History 3) Family History 4) Social background 5) Examination Look / Feel / Move Special tests developmental milestones. C ) Investigations Plain Radiography Patient - soft tissue , bones and joints using contact media 2- CT 3) IMRI 5-30, 000, stronger than Earth’s magnetic field 4) Diagnostic ultrasound 5) Radionuclide imaging - 99 m Tc B ) Blood tests CBC, ESR CPP - Non specific - Tissue typing - Rheumatoid factor - Synovial fluid analysis. C) Bone-Biopsy D) Diagnostic arthroscopy Infection Direct Introduction (2) from contiguous infection (3) indirect spread from blood stream Factors predisposing to bone infection - Malnutrition & general debility" - DM - Corticosteroid administration - Immune deficiency -immunosuppressive drugs. - Venous stasis in limbs - Peripheral l vascular diseas...