SADDLEBACK COLLAGE NURSING N172
MIDTERM; OSTEOMYELITIS EXAM
QUESTIONS AND ANSWERS
What is Osteomyelitis? - ANSWER A severe infection of the bone, bone
marrow, and surrounding soft tissue.
The most prevalent causal agent of osteomyelitis is Staphylococcus aureus.
An osteomyelitis infection can occur in two ways: ANSWER direct (open
wound directly to location of bone or implants).
indirect (pathogen transported to bone via circulatory network)
What is a sequestrum? - A chunk of dead bone
generally within a bone (not directly at the border of the bone, but may be
surrounded by good bone, making it exceedingly difficult to approach and treat
with therapies).
Risk of a sequestrum: ANSWER may serve as a reservoir for microorganisms
that can spread to other places.
Acute osteomyelitis lasts shorter than one month.
Local sx/sx of acute osteomyelitis - ANSWER Pain that is not eased by rest and
worsens with activity
swelling
, tenderness
Warmth at the infection site
The affected part's movement is restricted.
systemic sx/sx of acute osteomyelitis, ANSWER fever.
Night sweats.
chills
restlessness
nausea
malaise.
Chronic osteomyelitis lasts a month or more.
***or failed to respond to the first antibiotic treatment
Granulation tissue growth in cases of chronic osteomyelitis is cause for concern
because.. - ANSWER scar tissue replies in reaction and treatments are no longer
able to enter the site of infection.
Diagnostic studies for osteomyelitis include a bone or soft tissue biopsy (a
definitive approach to identify microorganisms).
Elevated WBC and ESR.
X-rays, bone scans, MRI, and CT
Radionuclide bone scan (gallium, indium)
Surgical debridement and decompression are often required for acute or chronic
osteomyelitis.
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