DIAGNOSISClinicallyLab. Test,CRP,ESR,Leucocyte.biopsy,C/SX-rayUltasoundCT scaningMRIBonescintigraphy and isotopscaning,or leucocytescin.
ACUTE HAEMATOGEN OSTEOMYLITIS Incidence Physiology Examination,labr., bloodculture, x-ray, acute MRI, Aspiration&biopsy Treatment Antibiotic alone Antibiotic not alone when………… Complications Purulent arthritis,cartilage destruction and OA , Chronic OM,fracture,DV T,deg.epiphyse ,
SUBACUTE HAEM. OM Lesser GH ef fect Subfebrile or no fever Lab.test almost negative Mostly pain Brodie abscese. X-ray,MRI,Biopsy Treatment Biopsy,revision, antibiotic.
CHRONIC OM Weeks until one year after the acute OM or trauma. Aetiology Clinically Treatment 1 .Radical excision 2.rerestructuring goodvascular soft tissue. 3.bone rerestruc. And stability 4.AntibioticBone TB
PURUELENT-INF.- ARTHRITISReactive or infectionPathogenese and aetiologyDiagnosisTreatmentBiopsy or aspiration,,C/S, surgery and antibiotic .
SOFT TISSUE INFECTIONS Abscese. Erysipelas or skin streptococuse infection. Gasgangren. Diagnosis and aetiology. Treatment. Facitis necrotis Aetiology Sympt.&sign. treatment