Chronic osteomyelitis
•Download as PPTX, PDF•
4 likes•482 views
A child presented with a 1 month history of swelling around the left elbow associated with evening rise in temperature. They had fallen and injured the elbow 2 months prior. Examination found a 4 by 4 cm soft, swollen area over the proximal forearm with local rise in temperature. Tests revealed elevated ESR and CRP. MRI and biopsy showed evidence of tuberculous inflammation. The child underwent incision and drainage of the collection and was started on anti-tubercular treatment.
Report
Share
Report
Share
Recommended
Osteomyelitis+in+Children
Osteomyelitis in children is caused by bacterial infection, most commonly Hemophilus influenzae or Kingella kingae. It presents with pain, fever, and swelling near the infected bone. Diagnosis involves blood tests showing elevated white blood cell count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). Imaging like x-ray, bone scan, MRI can identify bone changes. Treatment is usually intravenous antibiotics for 2-6 weeks, sometimes with surgery to remove dead bone if the infection is not improving. Complications can include recurrence, bone damage affecting growth, or pathological fractures.
Chronic Osteomyelitis In Children
1. Chronic osteomyelitis in children can result from untreated acute hematogenous osteomyelitis or spread of infection from neighboring tissues. Common causes include open fractures and puncture wounds.
2. Clinical findings include fever, bone pain, local tenderness, sinus discharge, and bone deformities. Pathological features include bone necrosis, new bone formation, and prostaglandin-induced bone resorption.
3. Treatment involves antibiotics, surgical debridement to remove dead tissue, and reconstruction if significant bone loss. The goal is to eradicate infection while preserving bone stock.
Hematogenous Osteomyelitis
1. Hematogenous osteomyelitis is a bacterial infection of the bone that most commonly affects the metaphysis of long bones in children. Staphylococcus aureus is the primary cause in 70-90% of cases.
2. Infection typically begins in the vascular metaphyseal region of bones and can spread to the joint space in young children. Symptoms include fever, bone pain, and local swelling. Diagnosis involves blood tests, imaging, and bone aspiration to confirm bacteria.
3. Treatment involves IV antibiotics targeting S. aureus for 2-4 weeks, followed by oral antibiotics if the child improves. Surgery to drain abscesses may be needed
Acute hematogenous osteomyelitis
An 8-year-old boy presented with increasing right leg pain and limping over the past week. On examination, he had tenderness and swelling of his distal right femur. Differential diagnoses included osteomyelitis versus vaso-occlusive crisis. Laboratory tests like WBC, ESR, CRP are useful but not definitive for osteomyelitis diagnosis. Imaging options include x-ray, bone scan, CT, or MRI, with MRI having the highest sensitivity. Treatment involves antibiotics effective against common causes like MSSA or MRSA depending on risk factors and severity.
Osteomyelitis in Children
An 11-year-old girl presented with 3 days of fever and left ankle pain. Initial examination and x-rays were normal. She returned with worsening symptoms and was found to have a hot, swollen ankle. MRI revealed subperiosteal abscess and osteomyelitis of the distal tibia. Blood and joint fluid cultures grew Staphylococcus aureus. Osteomyelitis is most commonly caused by S. aureus spreading hematogenously to the metaphysis of long bones in children. Presentation varies by age but may include pain, fever, and reduced mobility. Diagnosis relies on clinical suspicion as initial tests and x-rays may be normal. Advanced imaging and culture of infected sites are important
Acute osteomyelitis
Acute osteomyelitis is a bacterial bone infection, most commonly caused by Staphylococcus aureus. It typically presents in children as fever, pain and swelling near the metaphysis of long bones. Investigations like blood tests, X-rays and MRI can help with diagnosis. Treatment involves antibiotics, splinting and possible surgical drainage, with precautions taken to prevent complications like chronic osteomyelitis, pathological fractures or growth plate disturbances.
Acute Osteomyelitis
Student Seminar Presentation under supervision of orthopedic specialist. Reference as mentioned in the slides.
Mellss yr4 ortho acute osteomyelitis
Acute osteomyelitis is a bacterial infection of bone that mainly affects children. It is classified based on duration (acute, subacute, chronic) and route of infection (primary/hematogenous, secondary). Staphylococci and streptococci are common causes. Clinical features include pain, fever and localized tenderness. Diagnosis involves imaging like bone scans and MRI. Treatment consists of supportive care, splinting, appropriate antibiotics based on patient factors, and surgical drainage if abscess is present. Complications can include impaired bone growth and chronic osteomyelitis if not treated properly.
Recommended
Osteomyelitis+in+Children
Osteomyelitis in children is caused by bacterial infection, most commonly Hemophilus influenzae or Kingella kingae. It presents with pain, fever, and swelling near the infected bone. Diagnosis involves blood tests showing elevated white blood cell count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). Imaging like x-ray, bone scan, MRI can identify bone changes. Treatment is usually intravenous antibiotics for 2-6 weeks, sometimes with surgery to remove dead bone if the infection is not improving. Complications can include recurrence, bone damage affecting growth, or pathological fractures.
Chronic Osteomyelitis In Children
1. Chronic osteomyelitis in children can result from untreated acute hematogenous osteomyelitis or spread of infection from neighboring tissues. Common causes include open fractures and puncture wounds.
2. Clinical findings include fever, bone pain, local tenderness, sinus discharge, and bone deformities. Pathological features include bone necrosis, new bone formation, and prostaglandin-induced bone resorption.
3. Treatment involves antibiotics, surgical debridement to remove dead tissue, and reconstruction if significant bone loss. The goal is to eradicate infection while preserving bone stock.
Hematogenous Osteomyelitis
1. Hematogenous osteomyelitis is a bacterial infection of the bone that most commonly affects the metaphysis of long bones in children. Staphylococcus aureus is the primary cause in 70-90% of cases.
2. Infection typically begins in the vascular metaphyseal region of bones and can spread to the joint space in young children. Symptoms include fever, bone pain, and local swelling. Diagnosis involves blood tests, imaging, and bone aspiration to confirm bacteria.
3. Treatment involves IV antibiotics targeting S. aureus for 2-4 weeks, followed by oral antibiotics if the child improves. Surgery to drain abscesses may be needed
Acute hematogenous osteomyelitis
An 8-year-old boy presented with increasing right leg pain and limping over the past week. On examination, he had tenderness and swelling of his distal right femur. Differential diagnoses included osteomyelitis versus vaso-occlusive crisis. Laboratory tests like WBC, ESR, CRP are useful but not definitive for osteomyelitis diagnosis. Imaging options include x-ray, bone scan, CT, or MRI, with MRI having the highest sensitivity. Treatment involves antibiotics effective against common causes like MSSA or MRSA depending on risk factors and severity.
Osteomyelitis in Children
An 11-year-old girl presented with 3 days of fever and left ankle pain. Initial examination and x-rays were normal. She returned with worsening symptoms and was found to have a hot, swollen ankle. MRI revealed subperiosteal abscess and osteomyelitis of the distal tibia. Blood and joint fluid cultures grew Staphylococcus aureus. Osteomyelitis is most commonly caused by S. aureus spreading hematogenously to the metaphysis of long bones in children. Presentation varies by age but may include pain, fever, and reduced mobility. Diagnosis relies on clinical suspicion as initial tests and x-rays may be normal. Advanced imaging and culture of infected sites are important
Acute osteomyelitis
Acute osteomyelitis is a bacterial bone infection, most commonly caused by Staphylococcus aureus. It typically presents in children as fever, pain and swelling near the metaphysis of long bones. Investigations like blood tests, X-rays and MRI can help with diagnosis. Treatment involves antibiotics, splinting and possible surgical drainage, with precautions taken to prevent complications like chronic osteomyelitis, pathological fractures or growth plate disturbances.
Acute Osteomyelitis
Student Seminar Presentation under supervision of orthopedic specialist. Reference as mentioned in the slides.
Mellss yr4 ortho acute osteomyelitis
Acute osteomyelitis is a bacterial infection of bone that mainly affects children. It is classified based on duration (acute, subacute, chronic) and route of infection (primary/hematogenous, secondary). Staphylococci and streptococci are common causes. Clinical features include pain, fever and localized tenderness. Diagnosis involves imaging like bone scans and MRI. Treatment consists of supportive care, splinting, appropriate antibiotics based on patient factors, and surgical drainage if abscess is present. Complications can include impaired bone growth and chronic osteomyelitis if not treated properly.
Septic arthritis
Septic arthritis
Pyogenic arthritis/Infective arthritis/Suppurative arthritis
Arthritis caused by pyogenic organisms
Typically,presents as an a/c painful arthritis
May also present as suba/c or c/c arthritis
Acute osteomyelitis
This presentation gives a brief idea of Acute osteomyelitis, its cause, predisposing factors, pathogenesis, signs and symptoms, investigation and its management. It also explain Nades principle.
Chronic osteomyelitis
Chronic osteomyelitis is a persistent bone infection that can develop from acute osteomyelitis if the infection is not properly treated. It is characterized by the formation of dead bone (sequestra) surrounded by infected tissue. Treatment requires extensive surgical debridement to remove all infected and dead bone, followed by long-term antibiotics and procedures to fill dead space and promote healing. Complications can include continued infection, bone deformities, fractures and joint stiffness if not adequately addressed.
Acute osteomyelitis
This document outlines acute osteomyelitis, including its classification, pathophysiology, clinical presentations, investigations, and treatment. It is an inflammatory condition of bone and bone marrow caused by infectious agents. Staphylococcus aureus is the most common causative organism. Clinical features include fever, pain, swelling, and tenderness over the affected bone. Investigations include blood tests, imaging like X-rays and MRI, and bone biopsy for culture and sensitivity. Treatment involves antibiotics targeting the likely organisms as well as surgical drainage if abscesses are present, with antibiotics continued after surgery.
Bone and joint infection in children
Bone and joint infections are common in children and can cause permanent damage if not treated promptly. The most common types are osteomyelitis (bone infection) and septic arthritis (joint infection). Staphylococcus aureus is a frequent cause, though other bacteria may also be responsible depending on factors like age and location of infection. Diagnosis involves physical exam, lab tests like blood cultures and imaging studies. Treatment requires antibiotics tailored to the suspected bacteria as well as possible surgical drainage of abscesses. With appropriate treatment, most children recover fully, but complications can include bone or joint damage if not addressed promptly.
osteomyelitis & prosthetic joint infection
osteomyelitis & prosthetic joint infection- definition, etiological agents, CF, lab diagnosis, treatment
G21 osteomyelitis
Osteomyelitis is a progressive bone infection that requires aggressive treatment to prevent bone destruction. It is classified based on pathogenesis, anatomy, and host factors. Treatment involves thorough debridement, appropriate antibiotic coverage, dead space management, and stabilization. The goals are to eradicate the infection through staged reconstruction while optimizing the host and preserving function. Three case examples demonstrate the treatment of osteomyelitis through debridement, local antibiotic delivery, soft tissue coverage, and bone grafting to achieve infection resolution.
Septic arthritis
A previous study developed a clinical prediction rule to distinguish between septic arthritis (SA) and transient synovitis (TS) in children presenting with acute hip pain. This study prospectively validated the rule in a new patient population. The study found that the same four predictors from the original study - history of fever, inability to bear weight, elevated ESR, and elevated WBC - were independently associated with SA. The diagnostic performance of the rule was similar between studies, accurately predicting SA 72.8-93% of the time depending on the number of predictors present. This validation confirms the clinical prediction rule is useful for differentiating between SA and TS in children with acute hip pain.
Mycobacterium Chelonae Abscessus Lower Extremity Infection in the Double Tran...
Mycobacterium Chelonae Abscessus Lower Extremity Infection in the Double Tran...Jennifer Gerres, DPM
- Mycobacterium chelonae abscessus is a rare but drug-resistant bacterial infection that caused pain and swelling in the right fourth toe of a 56-year-old male double transplant patient.
- Six weeks of IV antibiotics did not improve the infection. Further testing identified M. chelonae abscessus and long-term combination antibiotic therapy along with wound care was started.
- M. chelonae abscessus has a propensity for infecting immunocompromised patients like solid organ transplant recipients. It is a challenging infection to diagnose and treat due to its drug resistance and variable treatment durations needed.Osteomyelitis In Adults
This document discusses osteomyelitis, an infection of bone. It describes the classification systems of Waldvogel and Cierny-Mader, which categorize osteomyelitis based on duration, pathogenesis, anatomical involvement, and host physiology. Common types include hematogenous osteomyelitis from bacteremia and contiguous osteomyelitis from a nearby soft tissue infection. Diagnosis involves imaging, labs, and bone biopsy for culture and pathology. Staphylococcus aureus is a frequent pathogen.
Osteomyelitis
This document discusses osteomyelitis, an infection of bone tissue. It defines acute, subacute, and chronic osteomyelitis based on duration and describes their typical causes, symptoms, treatments, and complications. Acute osteomyelitis is usually pyogenic in nature and caused by bacteria like Staphylococcus aureus. It presents with pain, fever and can lead to bone necrosis if not treated promptly with antibiotics and drainage. Chronic osteomyelitis results when an infection fails to clear and can cause recurring symptoms, bone damage, and pathological fractures if not adequately addressed through surgery and long-term antibiotics.
Chronic osteomyelitis
This document provides an overview of chronic osteomyelitis, including its definition, causative organisms, predisposing factors, pathology, clinical features, classification, diagnosis, treatment, and complications. Chronic osteomyelitis is a persistent bone infection that is usually caused by Staphylococcus aureus and often follows acute osteomyelitis or open fractures. It is characterized by infected dead bone surrounded by inflamed soft tissue. Treatment involves surgical debridement combined with long-term antibiotics to eliminate the infection. Complications can include exacerbations, growth abnormalities, fractures, and in rare cases, malignant transformation of the infected site.
Septic arthritis
The document discusses septic arthritis, an inflammatory joint condition caused by bacterial infection. It notes that septic arthritis most commonly affects the knee, with Staphylococcus aureus now the most common pathogen in most patients. Risk factors include advanced age, medical conditions like diabetes, joint surgery, IV drug use, and recent bacteremia. Symptoms include joint pain, swelling, warmth, and fever. Diagnosis involves joint aspiration and fluid analysis, along with blood tests. Treatment requires antibiotics and sometimes surgical drainage, while complications can include permanent joint damage if not addressed promptly.
Septic arthritis
1. Septic arthritis, or bacterial infection of a joint, can occur when bacteria enters the synovial joint space, causing inflammation and purulent effusion. Common causes include Staphylococcus aureus and streptococcal infections.
2. Risk factors include advanced age, diabetes, prosthetic joints or recent joint surgery, and immunocompromised states. Presentation involves acute joint pain, swelling, warmth, and restricted movement. Diagnosis is confirmed by synovial fluid analysis showing purulent fluid with over 50,000 WBCs/mm3.
3. Treatment involves intravenous antibiotics for 2-4 weeks based on causative organism, along with surgical drainage if needed. Outcomes depend on
Osteomylitis
1) Osteomyelitis is an infection of bone tissue that can be acute or chronic. Acute osteomyelitis is commonly caused by Staphylococcus aureus and presents with pain, swelling, and fever.
2) If not treated adequately within 48 hours, surgical drainage and antibiotics are needed. Chronic osteomyelitis can develop if treatment is delayed and causes long-term bone changes seen on x-ray like sequestra and involucrum.
3) Specific types include Brodie's abscess, where infection is contained in the bone, and Garre's osteomyelitis, which is nonsuppurative. Surgical debridement is usually needed to treat chronic cases.
Acute and sub-acute Osteomyelitis
This document discusses and classifies acute and subacute osteomyelitis. It begins by defining osteomyelitis as a bone or bone marrow infection. It then classifies osteomyelitis based on timing of onset (acute <2 weeks, subacute 2-6 weeks, chronic >6 weeks) and method of spread (exogenous or hematogenous). Key points include: acute osteomyelitis most commonly spreads hematogenously while staphylococcus aureus is the most common cause; subacute osteomyelitis has an indolent course and is often an incidental finding on imaging. Treatment involves antibiotics, surgery if abscess or lack of response, and immobilization.
Septic arthritis
This document discusses septic arthritis, which is a joint infection caused by bacteria, viruses, or other microorganisms invading the joint space. Common causes include bloodstream dissemination from a distant infection, adjacent soft tissue infection, or trauma. Symptoms include intense joint pain, swelling, and inability to move the joint. Diagnosis involves joint fluid analysis showing inflammatory cells. Treatment requires appropriate antibiotics based on culture results as well as surgical drainage of the joint in some cases. Risk factors include diabetes, rheumatoid arthritis, or immunosuppression. Prompt diagnosis and treatment are important to prevent joint destruction and systemic infection.
Osteomyelitis
Acute hematogenous osteomyelitis is the most common type of bone infection seen in children. It typically involves the metaphysis of long bones. Staphylococcus aureus is the most common causative organism. Symptoms include fever and local swelling and tenderness. Diagnosis involves blood tests, imaging like x-rays and MRI, and abscess aspiration if present. Treatment consists of IV antibiotics with surgical drainage if abscess is identified, along with supportive care and monitoring for complications like pathological fractures or chronic osteomyelitis.
Septic arthritis
Non-gonococcal bacterial arthritis is a dangerous form of acute monoarthritis that can destroy cartilage within days. It typically presents as pain and swelling in a large joint like the knee. A diagnosis requires joint aspiration to obtain synovial fluid for cell count, microscopy and culture since symptoms like fever may be absent and tests such as blood tests are non-specific. Common organisms include Staphylococcus and Streptococcus. Treatment involves antibiotics like flucloxicillin for 2-6 weeks as well as joint drainage through needle aspiration or surgery. Outcomes depend on host factors, virulence of the organism, and speed of initiating effective treatment.
Bone infection in children ppt
Bone infections in children can cause permanent damage if not treated promptly. Staphylococcus aureus is a common cause of bone and joint infections in children. Symptoms may be subtle at first but can include fever and localized bone tenderness. Diagnosis involves blood tests, imaging like x-rays, and bone aspiration for culture. Treatment involves antibiotics for several weeks and sometimes surgery to drain abscesses. Proper treatment aims to minimize long-term effects on bone growth and function.
Common childhood problems of the lower limb (cong. & dev.)
This document summarizes several congenital orthopedic conditions discussed in an orthopedics tutorial, including: developmental dysplasia of the hip, Perthes disease, recurrent dislocation of the patella, congenital talipes equinovarus (clubfoot), and syndactyly. For each condition, it describes the etiology, key features, diagnosis, and treatment approaches. Common causes of congenital orthopedic conditions include genetic disturbances, drugs, infections, trauma, anoxia, and compression in utero.
Hospital acquired infections
This document discusses hospital acquired infections (HAIs), also known as nosocomial infections. It provides information on the epidemiology, risk factors, commonly implicated organisms, and infection prevention and control measures for HAIs. It notes that HAIs occur in about 8.7% of hospital patients on average globally, though rates are higher in developing countries. Common types of HAIs include urinary tract infections, ventilator-associated pneumonia, and surgical site infections. Methicillin-resistant Staphylococcus aureus and other drug-resistant organisms are significant causes of HAIs. The document outlines transmission routes and precautions healthcare workers should take like hand hygiene to prevent the spread of HAIs.
More Related Content
What's hot
Septic arthritis
Septic arthritis
Pyogenic arthritis/Infective arthritis/Suppurative arthritis
Arthritis caused by pyogenic organisms
Typically,presents as an a/c painful arthritis
May also present as suba/c or c/c arthritis
Acute osteomyelitis
This presentation gives a brief idea of Acute osteomyelitis, its cause, predisposing factors, pathogenesis, signs and symptoms, investigation and its management. It also explain Nades principle.
Chronic osteomyelitis
Chronic osteomyelitis is a persistent bone infection that can develop from acute osteomyelitis if the infection is not properly treated. It is characterized by the formation of dead bone (sequestra) surrounded by infected tissue. Treatment requires extensive surgical debridement to remove all infected and dead bone, followed by long-term antibiotics and procedures to fill dead space and promote healing. Complications can include continued infection, bone deformities, fractures and joint stiffness if not adequately addressed.
Acute osteomyelitis
This document outlines acute osteomyelitis, including its classification, pathophysiology, clinical presentations, investigations, and treatment. It is an inflammatory condition of bone and bone marrow caused by infectious agents. Staphylococcus aureus is the most common causative organism. Clinical features include fever, pain, swelling, and tenderness over the affected bone. Investigations include blood tests, imaging like X-rays and MRI, and bone biopsy for culture and sensitivity. Treatment involves antibiotics targeting the likely organisms as well as surgical drainage if abscesses are present, with antibiotics continued after surgery.
Bone and joint infection in children
Bone and joint infections are common in children and can cause permanent damage if not treated promptly. The most common types are osteomyelitis (bone infection) and septic arthritis (joint infection). Staphylococcus aureus is a frequent cause, though other bacteria may also be responsible depending on factors like age and location of infection. Diagnosis involves physical exam, lab tests like blood cultures and imaging studies. Treatment requires antibiotics tailored to the suspected bacteria as well as possible surgical drainage of abscesses. With appropriate treatment, most children recover fully, but complications can include bone or joint damage if not addressed promptly.
osteomyelitis & prosthetic joint infection
osteomyelitis & prosthetic joint infection- definition, etiological agents, CF, lab diagnosis, treatment
G21 osteomyelitis
Osteomyelitis is a progressive bone infection that requires aggressive treatment to prevent bone destruction. It is classified based on pathogenesis, anatomy, and host factors. Treatment involves thorough debridement, appropriate antibiotic coverage, dead space management, and stabilization. The goals are to eradicate the infection through staged reconstruction while optimizing the host and preserving function. Three case examples demonstrate the treatment of osteomyelitis through debridement, local antibiotic delivery, soft tissue coverage, and bone grafting to achieve infection resolution.
Septic arthritis
A previous study developed a clinical prediction rule to distinguish between septic arthritis (SA) and transient synovitis (TS) in children presenting with acute hip pain. This study prospectively validated the rule in a new patient population. The study found that the same four predictors from the original study - history of fever, inability to bear weight, elevated ESR, and elevated WBC - were independently associated with SA. The diagnostic performance of the rule was similar between studies, accurately predicting SA 72.8-93% of the time depending on the number of predictors present. This validation confirms the clinical prediction rule is useful for differentiating between SA and TS in children with acute hip pain.
Mycobacterium Chelonae Abscessus Lower Extremity Infection in the Double Tran...
Mycobacterium Chelonae Abscessus Lower Extremity Infection in the Double Tran...Jennifer Gerres, DPM
- Mycobacterium chelonae abscessus is a rare but drug-resistant bacterial infection that caused pain and swelling in the right fourth toe of a 56-year-old male double transplant patient.
- Six weeks of IV antibiotics did not improve the infection. Further testing identified M. chelonae abscessus and long-term combination antibiotic therapy along with wound care was started.
- M. chelonae abscessus has a propensity for infecting immunocompromised patients like solid organ transplant recipients. It is a challenging infection to diagnose and treat due to its drug resistance and variable treatment durations needed.Osteomyelitis In Adults
This document discusses osteomyelitis, an infection of bone. It describes the classification systems of Waldvogel and Cierny-Mader, which categorize osteomyelitis based on duration, pathogenesis, anatomical involvement, and host physiology. Common types include hematogenous osteomyelitis from bacteremia and contiguous osteomyelitis from a nearby soft tissue infection. Diagnosis involves imaging, labs, and bone biopsy for culture and pathology. Staphylococcus aureus is a frequent pathogen.
Osteomyelitis
This document discusses osteomyelitis, an infection of bone tissue. It defines acute, subacute, and chronic osteomyelitis based on duration and describes their typical causes, symptoms, treatments, and complications. Acute osteomyelitis is usually pyogenic in nature and caused by bacteria like Staphylococcus aureus. It presents with pain, fever and can lead to bone necrosis if not treated promptly with antibiotics and drainage. Chronic osteomyelitis results when an infection fails to clear and can cause recurring symptoms, bone damage, and pathological fractures if not adequately addressed through surgery and long-term antibiotics.
Chronic osteomyelitis
This document provides an overview of chronic osteomyelitis, including its definition, causative organisms, predisposing factors, pathology, clinical features, classification, diagnosis, treatment, and complications. Chronic osteomyelitis is a persistent bone infection that is usually caused by Staphylococcus aureus and often follows acute osteomyelitis or open fractures. It is characterized by infected dead bone surrounded by inflamed soft tissue. Treatment involves surgical debridement combined with long-term antibiotics to eliminate the infection. Complications can include exacerbations, growth abnormalities, fractures, and in rare cases, malignant transformation of the infected site.
Septic arthritis
The document discusses septic arthritis, an inflammatory joint condition caused by bacterial infection. It notes that septic arthritis most commonly affects the knee, with Staphylococcus aureus now the most common pathogen in most patients. Risk factors include advanced age, medical conditions like diabetes, joint surgery, IV drug use, and recent bacteremia. Symptoms include joint pain, swelling, warmth, and fever. Diagnosis involves joint aspiration and fluid analysis, along with blood tests. Treatment requires antibiotics and sometimes surgical drainage, while complications can include permanent joint damage if not addressed promptly.
Septic arthritis
1. Septic arthritis, or bacterial infection of a joint, can occur when bacteria enters the synovial joint space, causing inflammation and purulent effusion. Common causes include Staphylococcus aureus and streptococcal infections.
2. Risk factors include advanced age, diabetes, prosthetic joints or recent joint surgery, and immunocompromised states. Presentation involves acute joint pain, swelling, warmth, and restricted movement. Diagnosis is confirmed by synovial fluid analysis showing purulent fluid with over 50,000 WBCs/mm3.
3. Treatment involves intravenous antibiotics for 2-4 weeks based on causative organism, along with surgical drainage if needed. Outcomes depend on
Osteomylitis
1) Osteomyelitis is an infection of bone tissue that can be acute or chronic. Acute osteomyelitis is commonly caused by Staphylococcus aureus and presents with pain, swelling, and fever.
2) If not treated adequately within 48 hours, surgical drainage and antibiotics are needed. Chronic osteomyelitis can develop if treatment is delayed and causes long-term bone changes seen on x-ray like sequestra and involucrum.
3) Specific types include Brodie's abscess, where infection is contained in the bone, and Garre's osteomyelitis, which is nonsuppurative. Surgical debridement is usually needed to treat chronic cases.
Acute and sub-acute Osteomyelitis
This document discusses and classifies acute and subacute osteomyelitis. It begins by defining osteomyelitis as a bone or bone marrow infection. It then classifies osteomyelitis based on timing of onset (acute <2 weeks, subacute 2-6 weeks, chronic >6 weeks) and method of spread (exogenous or hematogenous). Key points include: acute osteomyelitis most commonly spreads hematogenously while staphylococcus aureus is the most common cause; subacute osteomyelitis has an indolent course and is often an incidental finding on imaging. Treatment involves antibiotics, surgery if abscess or lack of response, and immobilization.
Septic arthritis
This document discusses septic arthritis, which is a joint infection caused by bacteria, viruses, or other microorganisms invading the joint space. Common causes include bloodstream dissemination from a distant infection, adjacent soft tissue infection, or trauma. Symptoms include intense joint pain, swelling, and inability to move the joint. Diagnosis involves joint fluid analysis showing inflammatory cells. Treatment requires appropriate antibiotics based on culture results as well as surgical drainage of the joint in some cases. Risk factors include diabetes, rheumatoid arthritis, or immunosuppression. Prompt diagnosis and treatment are important to prevent joint destruction and systemic infection.
Osteomyelitis
Acute hematogenous osteomyelitis is the most common type of bone infection seen in children. It typically involves the metaphysis of long bones. Staphylococcus aureus is the most common causative organism. Symptoms include fever and local swelling and tenderness. Diagnosis involves blood tests, imaging like x-rays and MRI, and abscess aspiration if present. Treatment consists of IV antibiotics with surgical drainage if abscess is identified, along with supportive care and monitoring for complications like pathological fractures or chronic osteomyelitis.
Septic arthritis
Non-gonococcal bacterial arthritis is a dangerous form of acute monoarthritis that can destroy cartilage within days. It typically presents as pain and swelling in a large joint like the knee. A diagnosis requires joint aspiration to obtain synovial fluid for cell count, microscopy and culture since symptoms like fever may be absent and tests such as blood tests are non-specific. Common organisms include Staphylococcus and Streptococcus. Treatment involves antibiotics like flucloxicillin for 2-6 weeks as well as joint drainage through needle aspiration or surgery. Outcomes depend on host factors, virulence of the organism, and speed of initiating effective treatment.
Bone infection in children ppt
Bone infections in children can cause permanent damage if not treated promptly. Staphylococcus aureus is a common cause of bone and joint infections in children. Symptoms may be subtle at first but can include fever and localized bone tenderness. Diagnosis involves blood tests, imaging like x-rays, and bone aspiration for culture. Treatment involves antibiotics for several weeks and sometimes surgery to drain abscesses. Proper treatment aims to minimize long-term effects on bone growth and function.
What's hot (20)
Mycobacterium Chelonae Abscessus Lower Extremity Infection in the Double Tran...
Mycobacterium Chelonae Abscessus Lower Extremity Infection in the Double Tran...
Viewers also liked
Common childhood problems of the lower limb (cong. & dev.)
This document summarizes several congenital orthopedic conditions discussed in an orthopedics tutorial, including: developmental dysplasia of the hip, Perthes disease, recurrent dislocation of the patella, congenital talipes equinovarus (clubfoot), and syndactyly. For each condition, it describes the etiology, key features, diagnosis, and treatment approaches. Common causes of congenital orthopedic conditions include genetic disturbances, drugs, infections, trauma, anoxia, and compression in utero.
Hospital acquired infections
This document discusses hospital acquired infections (HAIs), also known as nosocomial infections. It provides information on the epidemiology, risk factors, commonly implicated organisms, and infection prevention and control measures for HAIs. It notes that HAIs occur in about 8.7% of hospital patients on average globally, though rates are higher in developing countries. Common types of HAIs include urinary tract infections, ventilator-associated pneumonia, and surgical site infections. Methicillin-resistant Staphylococcus aureus and other drug-resistant organisms are significant causes of HAIs. The document outlines transmission routes and precautions healthcare workers should take like hand hygiene to prevent the spread of HAIs.
Disorders of upper limb
The document discusses disorders of the upper limb, including the shoulder, elbow, wrist, and hand. It provides details on anatomy, common conditions such as frozen shoulder, lateral epicondylitis, carpal tunnel syndrome, and treatments including injections, physical therapy, and surgery. It comprehensively covers the assessment and management of various musculoskeletal issues in the upper extremity.
Disorders of Lower Limb
This document discusses disorders of the lower limbs, including causes such as congenital defects, inflammation, degeneration, trauma, and infection. It covers disorders grouped by age and then focuses on specific conditions of the hip and knee. For the hip, it describes diseases such as developmental dysplasia of the hip, Perthes disease, femoroacetabular impingement, bursitis, and osteoarthritis. For the knee, it discusses genu valgum/varum and performs assessments of range of motion, ligaments, and special tests for conditions like osteoarthritis.
Mch Program Offered by Texila American University
Texila American University has developed "Knowledge Based Assessment" program leading to M.Ch Certification. The aim and objectives of the "Magister Chirurgiae" M.Ch Trauma and Orthopedic Surgery & Surgery ( Two different Courses) course are to provide a clinically based Masters Degree, designed to gain super specialty experience in Trauma and Orthopedics.
Chronic osteomyeliti sby aina
This document discusses chronic osteomyelitis, including its causes, types, clinical features, investigations, staging, treatment, and differential diagnosis. Chronic osteomyelitis is caused by bacteria such as Staphylococcus aureus entering bone through breaks in the skin or surgery. It is characterized by destruction of bone tissue, formation of cavities containing pus and dead bone, and chronic inflammation. Diagnosis involves imaging like x-rays and biopsy. Treatment consists of long-term antibiotics, surgery to remove infected tissue, and management of any underlying risks or complications.
Carrying Angle
The carrying angle of the elbow is the angle between the longitudinal axes of the upper arm and forearm. It averages 13.6 degrees in females and 6.7 degrees in males. The carrying angle increases progressively from childhood to age 16 and plays an important role in activities of daily living. Abnormal carrying angles outside of 5-15 degrees can indicate conditions like cubitus valgus or varus. Repetitive overhead motions like throwing can place stress on the medial elbow ligaments and lead to injuries or tears over time. Accurate measurement and assessment of the carrying angle is important for managing elbow injuries and planning reconstructive surgeries.
Lower limb
The document discusses the anatomy of the lower limb. It was prepared by CHY YONG and contains human anatomy slides of the lower limb. The preparer thanks the reader for reviewing the slides on lower limb anatomy.
Lower limb fractures-Orthopedics
This document provides an overview of lower limb fractures, including fractures of the tibia (proximal, shaft, and distal), ankle, and foot. Key points discussed include the anatomy and mechanisms of injury for each fracture type. Classification systems and approaches to clinical examination, imaging, and management are described. Common complications are also outlined. The level of detail provided is intended for medical students to gain foundational knowledge on evaluating and treating lower limb fractures.
Congenital anomalies of upper limb
- Limb development begins in the 4th week of gestation from lateral plate mesoderm under the guidance of three signaling centers: the AER, ZPA, and dorsal/ventral ectoderm.
- The AER guides proximal-distal growth through FGF signaling, the ZPA patterns anterior-posterior development using SHH, and the ectoderm determines dorsal-ventral fates through WNT7a.
- Failure of limb formation can result in transverse or longitudinal deficiencies, where parts of the limb fail to develop fully, such as in radial club hand where the radius is absent. Classification systems aim to describe the spectrum of abnormalities.
Congenital anamolies upper limb - Dr.KK
This document discusses congenital anomalies of the upper limb, including definition, incidence, embryology, classification, and specific anomalies such as club hand, Madelung deformity, Apert's syndrome, cleft hand, and thumb abnormalities. Upper limb anomalies can occur due to arrest of development during crucial embryonic stages between 4-8 weeks. Common types include transverse or longitudinal arrest of parts, failure of differentiation, duplication, and overgrowth/undergrowth. Radial and ulnar club hands are described in detail along with associated syndromes and treatment approaches.
Seminar on chronic osteomyelitis sch
The document discusses chronic osteomyelitis, defining it as a severe, persistent bone infection lasting over 1 month with dead bone present. It covers the pathogenesis, classification, clinical features, and Cierny-Mader staging system for chronic osteomyelitis, which considers anatomical factors like location of infection and physiological factors like immune status to determine treatment approach. Chronic osteomyelitis is challenging to treat due to biofilm formation, poor vascularity of infected bone, and host immune compromise in many cases.
Lower limb MCQs
This document contains multiple choice questions about lower limb anatomy divided into two sections. The first section contains simple theoretical questions with answers provided at the end. The second section contains clinically oriented problem-based questions with explanations provided after every 10 questions. In total there are 55 questions covering topics like nerves, muscles, bones, ligaments and vasculature of the lower limb.
Upper limb orthosis
The document discusses upper limb orthosis, devices used to modify the structural and functional characteristics of the upper limb. It covers the objectives of upper limb orthosis including protection, correction, and assistance. It also discusses the classification, biomechanics, principles, and assessment of upper limb orthosis and provides descriptions and examples of specific upper limb orthoses including shoulder orthoses, arm slings, arm abduction orthoses, elbow/forearm/wrist orthoses, and elbow or wrist mobilization orthoses.
Osteomyelitis
Osteomyelitis is an inflammatory process of bone caused by infection. It can be acute or chronic and is classified based on etiology, pathology, and clinical presentation. Acute osteomyelitis involves suppurative inflammation of bone marrow and cortex. Chronic forms include chronic suppurative, focal sclerosing, diffuse sclerosing, and proliferative periostitis variants. Predisposing factors include trauma, radiation, systemic diseases, and dental infections which are a common cause. Diagnosis involves clinical, radiographic, histologic and treatment depends on type and includes debridement, drainage and long-term antibiotics.
Viewers also liked (15)
Common childhood problems of the lower limb (cong. & dev.)
Common childhood problems of the lower limb (cong. & dev.)
Similar to Chronic osteomyelitis
Rheumatic Fever
A 4-year-old Filipino boy presented with fever and joint pain for 2 weeks. Physical exam found swelling of both ankles and knees with slight limitation of movement. Tests showed leukocytosis and elevated ASO and ESR levels. He was diagnosed with rheumatic fever based on meeting major Jones criteria of polyarthritis and minor criteria of fever, leukocytosis and elevated ESR. He was treated with antibiotics and aspirin and showed improvement before discharge.
Case fungal osteomyelitis.
This case report describes a 55-year-old man who presented with a swelling below his eye for 5 months. Surgical exploration and biopsy revealed pus and bone erosion. Histopathology showed chronic osteomyelitis due to fungal infection, identified as Aspergillus species. The patient's wound continued draining despite antibiotics. Further imaging and debridement surgery confirmed destruction of the zygomatic arch and maxilla from chronic osteomyelitis. The patient was treated with antifungal medication for 6 weeks.
Sw Ine Flu Final
This document summarizes a case report of a 28-year-old pregnant woman admitted to the hospital for influenza A (H1N1). She presented with fever, cough, and shortness of breath. Laboratory tests confirmed she was positive for influenza A and H1N1 viral RNA. Her symptoms improved over three days in the hospital and she was discharged with medications and follow-up instructions.
H
This document describes the case of a 1-year-old male patient who presented with recurrent fractures of both femurs and tibias without any history of trauma. On examination, he had frontal bossing, wide-opened fontanelles, and other signs of rickets including bowed legs and widened wrists. Laboratory results found hypocalcemia, hypophosphatemia, and elevated alkaline phosphatase and PTH levels despite normal vitamin D levels. Based on these findings, the final diagnosis was vitamin D-dependent or vitamin D-deficient rickets.
Severe asthma update and case discussion 20200603
This document discusses two cases of severe asthma. The first case is a 48-year-old woman with a mixed asthma phenotype who presented with acute respiratory failure. She was treated with high-dose corticosteroids and Xolair, which improved her symptoms and lung function. The second case is a 35-year-old woman diagnosed with eosinophilic pneumonia and asthma exacerbation. Her workup showed very high eosinophil counts. Both patients were treated with inhaled corticosteroids and monoclonal antibodies targeting interleukin-5 (IL-5).
Brain abscess-1 (1).pptx
This document discusses the case of a 5 month old female infant who presented with failure to suck, vomiting, abnormal body movements, and an increasing head circumference. She was born prematurely at 36 weeks gestation and had a history of neonatal meningitis treated with antibiotics. Imaging showed hydrocephalus and a brain abscess. She underwent EVD placement, craniotomy for abscess drainage, and was treated with antibiotics. Serial imaging showed complex hydrocephalus and residual abscesses. The discussion covers neonatal meningitis, its complications including brain abscess and hydrocephalus, typical organisms, presentations, imaging findings, and management.
Prest.pptx
This document summarizes three acute surgical cases presented at a seminary: small bowel obstruction (SBO), blunt chest trauma, and acute appendicitis. For each case, it outlines the diagnosis, laboratory investigations, management, nursing care, and criticisms of the approach. The criticisms note missing diagnostic tests and evaluations, lack of monitoring and documentation, and inadequate nursing care plans. In particular, electrolyte and fluid management were often not thoroughly addressed for SBO, and nursing interventions like wound care and emotional support were sometimes lacking.
Death Discussion
The patient, a 5-year old girl, was admitted with irregular fever, neck and ear swelling, and abdominal masses. Examination found widespread lymphadenopathy and organomegaly. Tests indicated disseminated tuberculosis. Her condition deteriorated with respiratory failure and hypotension. Despite treatment, she developed cardiac arrest and was declared dead due to irreversible cardio-respiratory failure from lymphoma with metastasis and heart failure.
Early recognition of meningitis
Earlier in the month, the National Institute for Clinical Excellence issued a new guideline on bacterial meningitis and meningococcal disease in children. At the symposium we had two members of the Guideline Development Group. As well as our own Linda Glennie, we were joined by Dr Nelly Ninis, consultant paediatrician at St Mary's Hospital, who was able to explain the implications of this important guideline on the early recognition and treatment of septicaemia.
Case report- Hemoptysis
This 47-year-old male with a history of liver cirrhosis and HBV was admitted to the ER for hemoptysis for 2 days. He has a left neck mass and complaints of dysphagia and bleeding after eating. A CT scan showed a bulky tumor involving the left lateral oropharyngeal, hypopharyngeal and laryngeal walls, with enlarged lymph nodes. A laryngoscopy found a left hypopharyngeal cancer with ulceration and blood clot but no active bleeding. The tentative diagnosis is left hypopharyngeal cancer with ulceration and active bleeding status post endotracheal intubation to protect the airway, along with anemia from tumor bleeding,
July 2013 audit presentation ga and lrti
This document discusses the case of an 83-year old man who underwent brain surgery for a meningioma despite having significant medical comorbidities and an active chest infection. He developed severe postoperative respiratory complications requiring a prolonged stay in the intensive care unit. The case highlights the importance of thoroughly assessing high-risk patients preoperatively, acting on abnormal findings, and documenting key details. Literature suggests active chest infections significantly increase the risk of postoperative pneumonia, so delaying this man's surgery may have prevented his complications. Poor documentation and assessment were issues in this preventable case.
Family Case: Dengue Hemorrhagic Fever
The document presents a case study of a 4-year-old boy diagnosed with Dengue Hemorrhagic Fever grade 3. It describes the patient's family profile, medical history, symptoms, lab results, and treatment over his 7 day hospitalization. Key findings include fever, vomiting, abdominal pain, thrombocytopenia, and signs of plasma leakage. The patient was treated with IV fluids, antibiotics, and supportive care. He recovered well and was discharged once afebrile with improving appetite and stable platelet count above 50,000/mm3.
Case presentation
This document summarizes a clinical meeting presentation about a 10-year-old female patient named Nupur who presented with 4 months of fever, joint pain, and rash. On examination, she had erythematous rash, oral ulcers, and was moderately pale. Tests showed pancytopenia, positive ANA and anti-dsDNA, low complement levels, and hematuria. She was diagnosed with systemic lupus erythematosus with lupus nephritis. She was treated with IV fluids, antibiotics, hydroxychloroquine, naproxen, and captopril. Her condition initially did not improve but stabilized after starting oral prednisone and cyclophosphamide.
Thigh Abscess Secondary to Continuous Popliteal Nerve Catheter: A Rare Compli...
Thigh Abscess Secondary to Continuous Popliteal Nerve Catheter: A Rare Compli...Jennifer Gerres, DPM
This case report describes a rare complication of a continuous popliteal nerve catheter (CPNC), where a 53-year-old woman developed a posterior thigh abscess secondary to the CPNC placed after surgery for a trimalleolar fracture. Despite removal of the catheter, her symptoms worsened with fever and increasing thigh pain. Imaging revealed a large abscess, requiring radical debridement of two-thirds of her posterior thigh compartment. Cultures grew methicillin-resistant Staphylococcus aureus. She required months of IV antibiotics and extensive physical therapy for recovery. The report reviews typical CPNC complications but highlights serious infection as rare, discussing this case and two similar reports where abscess developed secondary to MRSA from an indCme tb 1
Tuberculosis (TB) is an ancient disease that has affected humans for thousands of years. It has been documented in Egyptian mummies from 4000 years ago and was a common fatal disease in the time of Hippocrates. Throughout history, TB has been given many names as its symptoms and transmission were gradually understood. Modern policies for controlling TB began with the World Health Organization in the mid-20th century. The document then discusses TB control strategies and targets in the state of Perak, Malaysia, including increasing detection and cure rates while reducing incidence and mortality. It also presents two case studies of TB patients to demonstrate challenges with detection and treatment.
Infections of the spine
A 56-year-old man presented with worsening lower back pain over the past few days. He had a history of L3-L5 laminectomy in 2003 and was recently hospitalized for MRSA bacteremia and pneumonia. Imaging showed progressive spondylodiscitis at L4-L5 that had worsened since his previous admission. He underwent an incision and drainage of an abscess in his left psoas muscle.
vasculitis.pptx
Waseem, a 27-year-old technician, presents with a 5-year history of skin rashes and 1-year history of joint pains. Recently he has developed a cough and hemoptysis. Examination finds a vesicular rash on his lower limbs and he is cANCA positive. Investigations reveal granulomatosis with polyangitis (GPA, formerly Wegener's granulomatosis). As GPA can be fatal if untreated, induction therapy with corticosteroids and cyclophosphamide is planned to induce remission, followed by rituximab to maintain remission.
OPD-TUBERCULOSIS LECTURE.pptx
The document provides information on screening and diagnosis of tuberculosis. It discusses case finding through presumptive TB identification based on clinical signs and symptoms as well as chest x-ray and bacteriological testing. It also covers systematic screening for active TB outside of health facilities, active case finding within health facilities, and intensified and enhanced case finding in the community. Diagnosis approaches for both adults and children are presented.
Appendicites
Appendicitis is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen.
It requires immediate medical treatment. If left untreated, it can cause your appendix to rupture. This can be a serious and even fatal complication.
Acute appendicitis is more common than chronic appendicitis. Learn more about the similarities and differences between these conditions.
Diagnosis and Management of Acute Community Acquired Pneumonia - Professor Iv...
How do we diagnose acute CAP? What are the ways to treat patients with CAP? Professor Ivan Hung (Hong Kong) presents his answers in his 2015 Pneumonia Lectures.
Learn more on www.waidid.org
Similar to Chronic osteomyelitis (20)
Thigh Abscess Secondary to Continuous Popliteal Nerve Catheter: A Rare Compli...
Thigh Abscess Secondary to Continuous Popliteal Nerve Catheter: A Rare Compli...
Diagnosis and Management of Acute Community Acquired Pneumonia - Professor Iv...
Diagnosis and Management of Acute Community Acquired Pneumonia - Professor Iv...
Recently uploaded
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
Histololgy of Female Reproductive System.pptx
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
All info about Diabetes and how to control it.
One health condition that is becoming more common day by day is diabetes.
According to research conducted by the National Family Health Survey of India, diabetic cases show a projection which might increase to 10.4% by 2030.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Role of Mukta Pishti in the Management of Hyperthyroidism
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
Hiranandani Hospital Powai News [Read Now].pdf
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
share - Lions, tigers, AI and health misinformation, oh my!.pptx
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Recently uploaded (20)
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Chronic osteomyelitis
- 1. Chronic Osteomyelitis in children
- 2. Clinical symptoms Pt c/o swelling around the left since 1 month which is insidious in onset with gradually progression associated with evening rise of temperature elbow A/h/o ?? Fall while playing 2 months back, At that time there was no significant swelling but there was pain and tenderness around left elbow.Pt kept in above elbow slab for 2 weeks.Pt was asymptomatic for 1 month or so.
- 3. No h/o Koch / koch contact /any major illness No family history of Koch Pre , Natal , Postnatal history is normal
- 4. On examination General Examination : Vitals were stable. No P,I,C,C,L,E Local Examination: Left Elbow Swelling over the proximal forearm around 4 by 4 cm, diffuse, soft to feel Local rise of temperature Overlying Skin is normal and can be pinched 3 point bony relation of elbow maintained
- 5. Diagnosis Chronic Osteomyelitis due to I. Tuberculous origin or II. bacterial origin or III. both
- 6. Lab Investigations Hb 11.4 TLC 9000 P54 E4 L36 M6 Platelet 4.4 ESR 51 CRP Positive 1:4 PT 14 seconds PTT 25 seconds Sr. Creatinine 0.5 RBS 78
- 7. Pre op X rays
- 8. MRI
- 12. MRI REPORT
- 13. Treatment Plan Incision and excision of inflammatory collection Sample to be sent for Histopathology AFB culture
- 14. Operative procedure Anterior Elbow Approach Incision and excised the debris
- 15. Immediate Post-op X ray
- 16. Post op treatment Empirical Antibiotics Inj Augmentin and Inj Amikacin for 5 days till reports Culture report No growth Histopathology report Tuberculous Inflammation Montoux test 15mm induration Started on AKT CAT 1 30/4/14 after eye examination by opthalmologist
- 17. AKT CAT-1 Start Ends Intensive phase 30/04/14 30/06/14 Continuous phase 1/07/14 30/10/14
- 18. DOTS CARD
- 19. After POD 2 months X ray
- 20. Comparing X rays
- 22. Clinical Picture
- 24. Further Treatment Complete Continous phase of AKT Cat 1 Planning for Z plasty for contracture.
- 25. THANK YOU