This topic in IMP in BOTH MCQ and OSCE

توضح لاحقا

DIF : More common Usually from trauma

Usually the x ray show no changes but sometimes it shows : مهمه MCQ sequestra

MCQ NB : C reactive protein reach its maximum in 5 days and if the pt, treated appropriately it disappear in 5 days MCQ

Last option

توضح بالتفاصيل لاحقا BUT remember the most common causative organism is S, aruse in most of the age groups

مهمه : لا تستثني المرض بمجرد عدم وجود حراره Broad speculums Abx

So it is rare

Could be STD, blood born

MCQ

For all the previous groups start the treatment for 3 days  if no improvement reassess from the beginning

So it common in the Tebia because it is superficial

Debridement1 st line

No need for Empirical treatment مهمه

1 st step in treatment : Deep specimen in multiple foci also do surgical debridement

NB L: in pt, with Hardware and chronic OM  wait for the full healing of the fracture then remove the hardware NB : Glycocalyx : ترسبات تمنع مرور المضادات الحيويه

MCQ

-DM pt. - post OP Steps of the treatment : 1- send to the OR and wash ( immediate to prevent joint destruction ) مهمه – سؤال 2-give empirical Abx and do culture 3- use specific Abx

Chronic monoseptic By : Brucellosis Gonorrhea

NB : Laminar flow : الهواء المنقى يدفع على المريض مباشره

MCQ

Time is IMP MCQ

من التيم ولم تشرح من الدكتور