Osteomyelitis history and symptoms: Difference between revisions
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===Patient History=== | ===Patient History=== | ||
*Hematogenous Osteomyelitis: | *Hematogenous Osteomyelitis: | ||
:*Intravenous drug use | :*Intravenous drug use<ref name="LewWaldvogel1997">{{cite journal|last1=Lew|first1=Daniel P.|last2=Waldvogel|first2=Francis A.|title=Osteomyelitis|journal=New England Journal of Medicine|volume=336|issue=14|year=1997|pages=999–1007|issn=0028-4793|doi=10.1056/NEJM199704033361406}}</ref> | ||
:*Urinary catheter use | :*Urinary catheter use | ||
:*[[Bacteremia]] | :*[[Bacteremia]] | ||
| Line 14: | Line 14: | ||
*Contiguous-focus Osteomyelitis: | *Contiguous-focus Osteomyelitis: | ||
:*Recent open fracture | :*Recent open fracture | ||
:*Recent orthopedic surgery | :*Recent surgery, especially orthopedic surgery | ||
:*Prosthesis | :*Prosthesis | ||
*Osteomyelitis Secondary to Vascular Insufficiency: | *Osteomyelitis Secondary to Vascular Insufficiency: | ||
:*[[Diabetes]] | :*[[Diabetes]]<ref name="CaputoCavanagh1994">{{cite journal|last1=Caputo|first1=Gregory M.|last2=Cavanagh|first2=Peter R.|last3=Ulbrecht|first3=Jan S.|last4=Gibbons|first4=Gary W.|last5=Karchmer|first5=Adolf W.|title=Assessment and Management of Foot Disease in Patients with Diabetes|journal=New England Journal of Medicine|volume=331|issue=13|year=1994|pages=854–860|issn=0028-4793|doi=10.1056/NEJM199409293311307}}</ref> | ||
:*Diabetic patients with soft-tissue inflammation or skin ulcers in the feet | :*Diabetic patients with soft-tissue inflammation or skin ulcers in the feet | ||
===Common symptoms=== | ===Common symptoms=== | ||
*Systemic: | *Systemic:<ref name="LewWaldvogel2004">{{cite journal|last1=Lew|first1=Daniel P|last2=Waldvogel|first2=Francis A|title=Osteomyelitis|journal=The Lancet|volume=364|issue=9431|year=2004|pages=369–379|issn=01406736|doi=10.1016/S0140-6736(04)16727-5}}</ref> | ||
:*Chills | :*Chills | ||
:*[[Fever]] | :*[[Fever]] | ||
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===Special Considerations=== | ===Special Considerations=== | ||
*Diabetic patients with osteomyelitis secondary to vascular insufficiency typically do not fever or inflammation. | *Diabetic patients with osteomyelitis secondary to vascular insufficiency typically do not have fever or inflammation. | ||
*Fever is typically absent in patients with infected prosthesis. | *Fever is typically absent in patients with infected prosthesis. | ||
*Patients with vertebral osteomyelitis may have generalized neck and back pain. | |||
==References== | ==References== | ||
Revision as of 15:42, 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
History and Symptoms
Patient History
- Hematogenous Osteomyelitis:
- Intravenous drug use[1]
- Urinary catheter use
- Bacteremia
- 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.