Osteomyelitis physical examination

Osteomyelitis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]; Nate Michalak, B.A.

Physical Examination

Vital Signs

• Fever

Acute Osteomyelitis

• Swelling
• Redness
• Tenderness

Common Locations

• Hematogenous Osteomyelitis:

• Long bone metaphysis (typically tibia and femur) in children

• Presence of transphyseal blood vessels and an immature growth plate in infants increase likelihood of infection spreading to epiphysis and joint cavity.

• Lumbar vertebrae in elderly patients

• Vertebral osteomytelitis involves adjacent vertebrae and intervertebral disc

• Contiguous-focus Osteomyleitis:

• Hip, knee, elbow due to prosthesis infection
• Long bones due to fracture

• Osteomyelitis Secondary to Vascular Insufficiency:

• Toes, metatarsal heads, and tarsal bones

Gallery

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  Osteomyelitis. With permission from Dermatology Atlas.

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  Osteomyelitis. With permission from Dermatology Atlas.

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  Osteomyelitis. With permission from Dermatology Atlas.