Osteomyelitis physical examination: Difference between revisions
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===Common Locations=== | ===Common Locations=== | ||
=====Hematogenous Osteomyelitis===== | |||
:*Long bone metaphysis (typically tibia and femur) in children | :*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. | ::*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 | :*Lumbar vertebrae in elderly patients | ||
::*Vertebral osteomytelitis involves adjacent vertebrae and intervertebral disc | ::*Vertebral osteomytelitis involves adjacent vertebrae and intervertebral disc | ||
=====Contiguous-focus Osteomyleitis===== | |||
:*Hip, knee, elbow due to prosthesis infection | :*Hip, knee, elbow due to prosthesis infection | ||
:*Long bones due to fracture | :*Long bones due to fracture | ||
=====Osteomyelitis Secondary to Vascular Insufficiency===== | |||
:* Toes, metatarsal heads, and tarsal bones | :* Toes, metatarsal heads, and tarsal bones | ||
Revision as of 19:20, 18 April 2016
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Osteomyelitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Osteomyelitis physical examination On the Web |
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American Roentgen Ray Society Images of Osteomyelitis physical examination |
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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.
Overview
Physical Examination
Vital Signs
Acute Osteomyelitis
- Swelling
- Redness
- Tenderness (except in diabetic patients with advanced neuropathy)
Chronic Osteomyelitis
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.[1]](/images/3/3a/Osteomyelitis01.jpg)
Osteomyelitis. With permission from Dermatology Atlas.[1]
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![Osteomyelitis. With permission from Dermatology Atlas.[1]](/images/d/d0/Osteomyelitis02.jpg)
Osteomyelitis. With permission from Dermatology Atlas.[1]
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![Osteomyelitis. With permission from Dermatology Atlas.[1]](/images/7/7a/Osteomyelitis03.jpg)
Osteomyelitis. With permission from Dermatology Atlas.[1]
![Osteomyelitis. With permission from Dermatology Atlas.[1]](/index.php/File:Osteomyelitis01.jpg)
![Osteomyelitis. With permission from Dermatology Atlas.[1]](/index.php/File:Osteomyelitis02.jpg)
![Osteomyelitis. With permission from Dermatology Atlas.[1]](/index.php/File:Osteomyelitis03.jpg)