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osteomylitis

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Pramod Mahender
Pramod Mahender

The document discusses osteomyelitis, which is a bone infection. It provides information on the causes, risk factors, clinical features, diagnostic tests, classification systems used to describe osteomyelitis, management including antibiotics and surgery, and associations between osteomyelitis and conditions like HIV.

Health & Medicine
1 of 38
osteomyelitis Moderator: Dr peeyush sharma Presenter: Dr Pramod mahender
osteomyelitis ,[object Object],[object Object],[object Object]
Osteomyelitis >3months Chronic: Less virulent – more immune 2weeks—3months Subacute: ,[object Object],[object Object],<2weeks Acute:
Organisms Commonly Isolated in Osteomyelitis Based on Patient Age ,[object Object],[object Object],[object Object]
Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
osteomyelitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
pathophysiology Primary & secondary spongiosa Limit reticuloendothelial cells Immature cell, anoxia Hairpin bend ( metaphyseal arteries) Sluggish circulation infection
Clinical feature ,[object Object],Chornic ,[object Object],[object Object],[object Object],Sub acute ,[object Object],[object Object],[object Object],Late Acute ,[object Object],[object Object],[object Object],Early Acute
lab ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MORREY AND PETERSON”S CRITERIA ,[object Object],[object Object],[object Object]
Peltola and vahvanen’s criteria ,[object Object]
 
[object Object],[object Object],[object Object],[object Object]
 
WALDVOGEL 1970 ,[object Object],[object Object],[object Object]
WEILAND 1984 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GORDON’S 1988 ,[object Object],[object Object],[object Object]
GER’S 1982 ,[object Object],[object Object],[object Object],[object Object]
KELLY’S 1984 ,[object Object],[object Object],[object Object],[object Object]
MAY’S 1989 ,[object Object],[object Object],[object Object],[object Object],[object Object]
TABLE 1 Waldvogel Classification System for Osteomyelitis ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Penny classification of chronic osteomyelitis in children includes both diaphyseal and metaphyseal types . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
DE CIERNY-MADER ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Cierny-Mader Staging System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic or Local Factors That Affect Metabolism, Local Vascularity, and Immune Surveillance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nade’s principles ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nade’s indications for surgery ,[object Object],[object Object],[object Object]
management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical mx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cierney mader Soft tissue coverage After debridement Bone exposed Stage2 :NO hardware-Nosurgery Intramedulary reaming+/- bone grafting +/- brace/cast Children Adult Stage1
Cierney mader Structural stability Obliterating debridement gaps -bone graft -Illizarov - free flaps -vascular bone instability Stage4 Deberidment Reconstruction of bone &soft tissue Sequestered +above Stage3
Osteomyelitis and hiv ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Musculoskeletal &hiv ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU

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osteomylitis

  • 1. osteomyelitis Moderator: Dr peeyush sharma Presenter: Dr Pramod mahender
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  • 7. pathophysiology Primary & secondary spongiosa Limit reticuloendothelial cells Immature cell, anoxia Hairpin bend ( metaphyseal arteries) Sluggish circulation infection
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  • 33. Cierney mader Soft tissue coverage After debridement Bone exposed Stage2 :NO hardware-Nosurgery Intramedulary reaming+/- bone grafting +/- brace/cast Children Adult Stage1
  • 34. Cierney mader Structural stability Obliterating debridement gaps -bone graft -Illizarov - free flaps -vascular bone instability Stage4 Deberidment Reconstruction of bone &soft tissue Sequestered +above Stage3
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