Case Study Osteomyelitis

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1.) Susan is postmenopausal, so there is a higher risk for osteoporosis. She is also not on hormone replacement therapy. Estrogen helps preserve bone mass by inhibiting bone dissolving action of the osteoclast. However, Susan is also active and exercises regularly, so she is less likely to have osteoporosis. Other factors such as bone cancer could have led to the weakening of her bones.

2.) If Susan had bone cancer, the CT scan would reveal the presence of a tumor. The densitometry scan would also show a change in the density of the bone due to cancer.

3.) Vitamin D helps the bones to absorb more calcium.

4.) Susan has a nondisplaced oblique fracture of the neck of the femur. A nondisplaced oblique fracture is when the bone did not move from its original anatomical position, but fractured diagonally across the neck of the femur.
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The surgical area is warm and inflamed. She has an elevated temperature and swollen lymph nodes. She also has an elevated concentration of lymphocytes, as well as subperiosteal abscess in the surgical site. Osteomyelitis is bacterial infection of the bone. In Susan’s case, it is exogenous osteomyelitis, where bacteria invade from outside the body, from a surgical procedure. Symptoms of osteomyelitis include fever, enflamed lymph nodes, and local pain and swelling.

6.) The source of infection is from the surgical procedure. The surgical instruments may not have been properly sterilized therefore leading to the infection.

7.) The pelvis is near the spine, so the cancer as a better chance of spreading to the spine. John’s tibia could be amputated to prevent the spread of the cancer, but an amputation of the pelvis is

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