TAILIEUCHUNG - Chapter 120. Osteomyelitis (Part 4)

Osteomyelitis of the thoracic spine demonstrated on a sagittal, fatsuppressed T1-weighted magnetic resonance image after the administration of IV gadolinium. At T8–T9, there is involvement of the adjacent vertebral bodies and intervening disk. Abnormally enhancing inflammatory tissue extends from the disk space anteriorly (white arrow) as well as posteriorly into the epidural space, compressing the thecal sac (black arrow). The role of diagnostic imaging in chronic osteomyelitis is to detect active infection and delineate the extent of debridement necessary to remove necrotic bone and abnormal soft tissues. CT is more sensitive than plain films for the detection of sequestra, sinus. | Chapter 120. Osteomyelitis Part 4 Figure 120-1 Source Fauci AS Kasper DL Braunwald E Hauser SL Longo DL Jameson JL Loscalzo J Harrison s Principles of Interna Medicine 17th Edition http Copyright The McGraw-Hill Companies Inc. All rights reserved. Osteomyelitis of the thoracic spine demonstrated on a sagittal fat-suppressed T1-weighted magnetic resonance image after the administration of IV gadolinium. At T8-T9 there is involvement of the adjacent vertebral bodies and intervening disk. Abnormally enhancing inflammatory tissue extends from the disk space anteriorly white arrow as well as posteriorly into the epidural space compressing the thecal sac black arrow . The role of diagnostic imaging in chronic osteomyelitis is to detect active infection and delineate the extent of debridement necessary to remove necrotic bone and abnormal soft tissues. CT is more sensitive than plain films for the detection of sequestra sinus tracts and soft tissue abscesses. Both CT and ultrasound are useful for guiding percutaneous aspiration of subperiosteal and soft tissue fluid collections. Sequential technetium and gallium or indium scans may help determine whether infection is active and may distinguish infection from noninflammatory bone changes. MRI provides superior information about the anatomic extent of infection but does not always distinguish osteomyelitis from healing fractures and tumors. MRI is particularly useful in distinguishing cellulitis from osteomyelitis in the diabetic foot however no imaging modality consistently distinguishes infection from neuropathic osteopathy. Appropriate samples for microbiologic studies should be obtained in all cases of suspected osteomyelitis before the initiation of antimicrobial therapy. Blood cultures are indicated in acute cases and are positive in more than one-third of cases of hematogenous osteomyelitis in children and 25 of cases of vertebral osteomyelitis in adults. The presence of sepsis occasionally .

• Y học thường thức
• Osteomyelitis
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• Musculoskeletal melioidosis
• Burkholderia pseudomallei osteomyelitis
• Chronic osteomyelitis
• Malaysian return driver
• Skull Osteomyelitis
• Chronic Non Bacterial
• Osteitis Chronic Recurrent
• Multifocal Osteomyelitis
• Treatment of Osteomyelitis
• Bleeding During Surgery
• BMC Musculoskeletal Disorders
• Calcium sulfate
• Diabetic foot osteomyelitis
• Surgical treatment
• Osteomyelitis recurrence rate
• Induced membrane
• Two stage surgery
• Hematogenous osteomyelitis
• Acute hematogenous osteomyelitis
• Radiofrequency Treatments
• Review and New Approaches
• Etiology and Pathogenesis
• Pathogenesis of Osteomyelitis
• Diagnosis and Types
• BMC Pediatrics
• Inflammatory bowel disease
• Chronic non infectious osteomyelitis
• Ulcerative colitis
• Joint pain
• Staphylococcus aureus
• Antimicrobial susceptibility
• Tertiary care centre
• Post traumatic osteomyelitis
• Bacteriological profile
• Chronic nonbacterial osteomyelitis
• Clavicle reconstruction
• Free peroneal graft
• Typical radiographic findings
• BMC Pulmonary Medicine
• Mycobacterium abscessus ssp abscessus
• Vertebral osteomyelitis
• pulmonary disease
• Non tuberculous mycobacteria
• Chronic recurrent multifocal osteomyelitis
• Periosteal proliferation
• Idiopathic inflammatory disease
• Humeral cortex
• Fibular osteomyelitis
• Distal fibular
• Knee stability
• Disturb ankle kinematics significantly
• Microbiological profile
• Tertiary care hospital
• Poor blood supply
• Diabetic wounds
• Loss of protective sensation
• Mauricio S
• Baptista and João Paulo Tardivo
• Health
• Sciences
• medicine
• pharmacolocy
• Gram positive filamentous organism
• Chronic granulomatous disease
• Cervicofacial actinomycosis
• Actinomycotic osteomyelitis
• Vancomycin calcium sulfate implantation
• Fenestration decompression
• Sclerosing osteomyelitis
• C reactive protein
• báo cáo khoa học
• báo cáo y học
• công trình nghiên cứu về y học
• tài liệu về y học
• cách trình bày báo cáo