Peds hip septic arthritis

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  1. Risk fractures for septic arthritis 4
    • Prematurity
    • C section
    • Treated in NICU
    • Invasive procedure
  2. Peds joints with intra articular metaphysis 4
    • Hip
    • Shoulder
    • Elbow
    • Ankle
  3. Septic arthritis mechanism of destruction
    Proteolytic enzymes > articular damage within 8 hours
  4. Septic arthritis organism in:
    Adolescents
    After varicella
    Neonates community acquired
    Children over 2
    • Gonorrhea
    • Group A strep
    • Group B strep
    • Staph
  5. Septic arthritis poor prognosis 4
    • Age < 6 months
    • Associated osteo
    • Delay > 4days presentation
    • Hip >>>knee
  6. Septic arthritis position of hip
    • Flexion
    • Abduction
    • External rotation
  7. Infant septic arthritis criteria
    • WBC > 12 000
    • Inability to WB
    • Fever > 38.5
    • ESR >40
  8. Peds septic A joint aspiration: WBC
    glucose
    Lactic acid
    • > 50 000
    • >50 less than serum levels
    • High due to gram =ve cocci or gram -ve rods
  9. Septic A: indication for antibiotic alone
    Gonorreah
  10. Septic A empiric treatment: < 12 month
    6 month - 5 years
    5-12 years
    12-18 years
    • 1st gen cephalosporin
    • 2-3 gen cephalosporin
    • 1st gen cephalosporin
    • Oxacillin

Card Set Information

Author:
dcc77
ID:
335973
Filename:
Peds hip septic arthritis
Updated:
2017-11-13 23:52:40
Tags:
Peds
Folders:

Description:
Orthobullets
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