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20 Cards in this Set
- Front
- Back
what bacteria predominates in the hospital and the community?
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USA 300 (staph a)
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what is pyogenic arthritis
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causes lots of pus and WBCs
due to bacterial infection |
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associated with trauma, this is normally a staph infection that leads to joint pain. What is this?
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pyogenic arthritis
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what can not treating gonorrhea lead to?
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can lead to bacteremia (and problems in the joints such as the knee)
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Group B strep is seen in what population
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infants
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catalayse positive and coagulase positive and causes abscesses in the skin...what is this?
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Staphylococus aureus
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if you have a stain with a gram negative diplococci in a coffee bean shape what do you have
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Neisseria
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why are people with existing arthritis more like to develop infectious arthritis?
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because germs tend to infect a joint that is damaged, and therefore weaker than a healthy one
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for infectious arthritis, does it normally cause problems in multiple sites or just one?
**Important |
ONE SITE normally
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what joints are the most susceptible for infectious arthritis?
** |
Previously damaged joints
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if a patient is sexually active and has infectious arthritis what caused it?
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Neisseria gonorrhoeae
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Reactive (postexposure) arthritis – Reiter’s Syndrome is assoicated with what human lymphocyte antitgen?
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HLA B27
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Chlamydia trachomatis
Salmonella enteritidis Salmonella typhimurium Shigella sonnei all the above can lead to what? |
Reactive (postexposure) arthritis – Reiter’s Syndrome
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In 1984 in Ontario, Canada, an outbreak of Salmonella typhimurium food poisoning occurred among police officers who were serving as security guards during a papal visit. Of the 1,608 police officers involved, 432 had acute gastroenteritis. Within three months following the outbreak, 27 of these officers had developed acute arthritis; over the next four months, it resolved in nine of them. The remaining 18 officers had recurrent symptoms or had developed a chronic arthritis on re-evaluation five years later. These officers had developed...
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reactive arthritis, or Reiter's syndrome
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A 15 y/o boy received an injury to the lower part of his right thigh in a high school football game. The pain was so intense that he had to leave the game. That night he developed chills followed by a fever to 39.4o C. Presented to physician next day who noted that the lower right thigh was hot, swollen, and tender. The knee had a full range of motion. Also, noticed several small boils on the neck and chest of patient. Some were scarred and crusted. Patient admitted to squeezing them in past 2 days. X-ray showed no abnormalities of the bone.
what is this? |
Osteomyelitis
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May be difficult to diagnose particularly in adults until considerable damage has occurred. About 50% of the bone matrix must be removed before a lytic process can be visualized. No changes occur on standard x-ray until 10 days after onset of illness.
what is this? |
Osteomyelitis
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Occurs most fequently in children when long bones are actively growing
Trauma → disruption of blood vessels and hematoma Metaphysis is predisposed to infection what is this the pathophysiology for |
Osteomyelitis
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if you see fever and severe localized skeletal pain, what does the patient have? what is the normal cause?
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Osteomyelitis
staph a. |
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what normally causes infections seen with prostheses?
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Staphylococcus epidermidis
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how does Staphylococcus epidermidis cause infection in prostheses (what does it have that lets it do that)
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the slime layer capsule
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