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20 Cards in this Set

  • Front
  • Back
what bacteria predominates in the hospital and the community?
USA 300 (staph a)
what is pyogenic arthritis
causes lots of pus and WBCs

due to bacterial infection
associated with trauma, this is normally a staph infection that leads to joint pain. What is this?
pyogenic arthritis
what can not treating gonorrhea lead to?
can lead to bacteremia (and problems in the joints such as the knee)
Group B strep is seen in what population
infants
catalayse positive and coagulase positive and causes abscesses in the skin...what is this?
Staphylococus aureus
if you have a stain with a gram negative diplococci in a coffee bean shape what do you have
Neisseria
why are people with existing arthritis more like to develop infectious arthritis?
because germs tend to infect a joint that is damaged, and therefore weaker than a healthy one
for infectious arthritis, does it normally cause problems in multiple sites or just one?

**Important
ONE SITE normally
what joints are the most susceptible for infectious arthritis?

**
Previously damaged joints
if a patient is sexually active and has infectious arthritis what caused it?
Neisseria gonorrhoeae
Reactive (postexposure) arthritis – Reiter’s Syndrome is assoicated with what human lymphocyte antitgen?
HLA B27
Chlamydia trachomatis
Salmonella enteritidis
Salmonella typhimurium
Shigella sonnei

all the above can lead to what?
Reactive (postexposure) arthritis – Reiter’s Syndrome
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...
reactive arthritis, or Reiter's syndrome
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
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
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
if you see fever and severe localized skeletal pain, what does the patient have? what is the normal cause?
Osteomyelitis

staph a.
what normally causes infections seen with prostheses?
Staphylococcus epidermidis
how does Staphylococcus epidermidis cause infection in prostheses (what does it have that lets it do that)
the slime layer capsule