Osteomyelitis physical examination

Osteomyelitis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Osteomyelitis from Other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications, and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Osteomyelitis physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Osteomyelitis physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Osteomyelitis physical examination
CDC on Osteomyelitis physical examination
Osteomyelitis physical examination in the news
Blogs on Osteomyelitis physical examination
Directions to Hospitals Treating Osteomyelitis
Risk calculators and risk factors for Osteomyelitis physical examination

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 (except in diabetic patients with advanced neuropathy)

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

• 

  Osteomyelitis. With permission from Dermatology Atlas.

• 

  Osteomyelitis. With permission from Dermatology Atlas.

• 

  Osteomyelitis. With permission from Dermatology Atlas.