50 Osteomyelitis Fig. 50.1A This patient has osteomyelitis of the left great toe, particularly affecting the distal phalanx. Background The main routes of bone infection (osteomyelitis) are either haematogenous or direct. Haematogenous osteomyelitis is commonest in children. Situations in which direct routes may occur include infected ulcers in diabetic patients, and post-surgery (especially with metalwork) and as a sequela of an open fracture. Clinical features Symptoms • Fever and local pain • The foot is a common site when there is a direct route of infection such as an ulcer in a person with diabetes. Signs • Tenderness and pyrexia • An overlying non-healing ulcer or sinus in a diabetic patient • Local erythema and restricted movement. It is important to be aware of this condition as it may present to several different groups of junior doctors. It may present to orthopaedics, particularly in patients at risk such as those who are post-surgical or who have suffered an open fracture. These patients may also present to a general medical team (particularly diabetes and endocrinology) or vascular team. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related posts: Permanent pacemakers Gastric outlet obstruction Caecal volvulus Small bowel obstruction Brodie’s abscess Slipped upper femoral epiphysis Stay updated, free articles. Join our Telegram channel Join Tags: On-Call X-Rays Made Easy Aug 20, 2016 | Posted by admin in ULTRASONOGRAPHY | Comments Off on Osteomyelitis Full access? Get Clinical Tree
50 Osteomyelitis Fig. 50.1A This patient has osteomyelitis of the left great toe, particularly affecting the distal phalanx. Background The main routes of bone infection (osteomyelitis) are either haematogenous or direct. Haematogenous osteomyelitis is commonest in children. Situations in which direct routes may occur include infected ulcers in diabetic patients, and post-surgery (especially with metalwork) and as a sequela of an open fracture. Clinical features Symptoms • Fever and local pain • The foot is a common site when there is a direct route of infection such as an ulcer in a person with diabetes. Signs • Tenderness and pyrexia • An overlying non-healing ulcer or sinus in a diabetic patient • Local erythema and restricted movement. It is important to be aware of this condition as it may present to several different groups of junior doctors. It may present to orthopaedics, particularly in patients at risk such as those who are post-surgical or who have suffered an open fracture. These patients may also present to a general medical team (particularly diabetes and endocrinology) or vascular team. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related posts: Permanent pacemakers Gastric outlet obstruction Caecal volvulus Small bowel obstruction Brodie’s abscess Slipped upper femoral epiphysis Stay updated, free articles. Join our Telegram channel Join Tags: On-Call X-Rays Made Easy Aug 20, 2016 | Posted by admin in ULTRASONOGRAPHY | Comments Off on Osteomyelitis Full access? Get Clinical Tree
