Osteomyelitis history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Patient history is important to establish a diagnosis of osteomyelitis. Common histories include: [[intravenous drug use]], [[bacteremia]], recent open [[fracture]] or [[surgery]], and [[diabetes]]. Common symptoms include: chills, [[fever]], [[malaise]], local pain and warmth, [[edema]], and [[erythema]]. Fever is typically absent in diabetic patients with osteomyelitis secondary to vascular insufficiency and patients with an infected [[prosthesis]]. | |||
==History and Symptoms== | ==History and Symptoms== | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category:Bacterial diseases]] | [[Category:Bacterial diseases]] | ||
Revision as of 15:55, 18 April 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Nate Michalak, B.A.
Overview
Patient history is important to establish a diagnosis of osteomyelitis. Common histories include: intravenous drug use, bacteremia, recent open fracture or surgery, and diabetes. Common symptoms include: chills, fever, malaise, local pain and warmth, edema, and erythema. Fever is typically absent in diabetic patients with osteomyelitis secondary to vascular insufficiency and patients with an infected prosthesis.
History and Symptoms
Patient History
- Hematogenous Osteomyelitis:
- Contiguous-focus Osteomyelitis:
- Recent open fracture
- Recent surgery, especially orthopedic surgery
- Prosthesis
- Osteomyelitis Secondary to Vascular Insufficiency:
Common symptoms
- Systemic:[3]
- Local:
Special Considerations
- Diabetic patients with osteomyelitis secondary to vascular insufficiency typically do not have fever or inflammation.
- Fever is typically absent in patients with infected prosthesis.
- Patients with vertebral osteomyelitis may have generalized neck and back pain.
References
- ↑ Lew, Daniel P.; Waldvogel, Francis A. (1997). "Osteomyelitis". New England Journal of Medicine. 336 (14): 999–1007. doi:10.1056/NEJM199704033361406. ISSN 0028-4793.
- ↑ Caputo, Gregory M.; Cavanagh, Peter R.; Ulbrecht, Jan S.; Gibbons, Gary W.; Karchmer, Adolf W. (1994). "Assessment and Management of Foot Disease in Patients with Diabetes". New England Journal of Medicine. 331 (13): 854–860. doi:10.1056/NEJM199409293311307. ISSN 0028-4793.
- ↑ Lew, Daniel P; Waldvogel, Francis A (2004). "Osteomyelitis". The Lancet. 364 (9431): 369–379. doi:10.1016/S0140-6736(04)16727-5. ISSN 0140-6736.