Qhov Tseem Ceeb - Osteomyelitis vs Septic Arthritis
Ob leeg osteomyelitis thiab septic mob caj dab yog ob yam kab mob cuam tshuam rau lub cev pob txha. Cov kab mob no tuaj yeem cuam tshuam rau ib qho kev sib koom tes lossis pob txha hauv lub cev thiab feem ntau tshwm sim los ntawm Staphylococcus aureus. Kev kis kab mob ntawm cov pob txha raug txheeb xyuas tias yog osteomyelitis thaum kis kab mob ntawm cov pob qij txha hu ua septic arthritis. Qhov no yog qhov sib txawv tseem ceeb ntawm osteomyelitis thiab septic mob caj dab. Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm osteomyelitis thiab septic mob caj dab kom tswj thiab kho cov mob no kom zoo.
Osteomyelitis yog dab tsi?
Cov kab mob yog qhov ua rau mob osteomyelitis. Lub caij nyoog ntawm fungi ua rau tus mob no yog nyob deb heev. Feem ntau ntawm cov kab mob fungal yog txuam nrog mob osteomyelitis.
YPyogenic Osteomyelitis
Qhov no yog hom kab mob osteomyelitis, thiab feem ntau cuam tshuam rau menyuam yaus. Tus qauv kab mob sib txawv nrog cov kev hloov pauv hauv cov qauv ntawm cov pob txha hauv cov hnub nyoog sib txawv.
Cov kab mob nkag mus rau cov pob txha li cas?
Txoj kev nkag mus ntawm cov kab mob feem ntau yog cov ntshav. Transient bacteremia thiab septicemia, tom qab kev kho hniav lossis phais laparoscopic, tuaj yeem kis mus rau cov pob txha, ua rau osteomyelitis. IV cov neeg siv yeeb tshuaj yog qhov muaj feem pheej hmoo ntawm kev tsim tus mob no los ntawm kev sib kis hematogenous ntawm cov kab mob nkag mus rau hauv lub cev los ntawm cov kab mob sib kis.
Cov kab mob tuaj yeem kis mus rau cov pob txha los ntawm cov kab mob suppurative uas nyob ib sab xws li mob mastoiditis. Kev cog qoob loo ncaj qha ntawm cov kab mob tuaj yeem tshwm sim hauv cov pob txha tawg.
Causative Agents
Nyob rau hauv menyuam yaus thiab neeg laus
- YStaphylococcus aureus
- YStreptococcus spp.
- aerobic gram negative bacteria
- YBacteroides
- Salmonella spp classically ua rau osteomyelitis hauv cov menyuam yaus uas muaj kab mob ntawm tes.
Neonates
Hmoob influenza
Variation of Disease Pattern with Age
Nyob rau hauv cov menyuam yaus, cov metaphyses ntawm cov pob txha ntev muaj qhov siab tshaj plaws perfusion vim tias lawv qhov kev xav tau siab metabolic. Tab sis nyob rau hauv cov neeg laus, vertebrae tau txais cov ntshav siab tshaj plaws. Yog li ntawd, metaphyses ntawm cov pob txha ntev thiab vertebrae yog qhov chaw muaj kev phom sij tshaj plaws rau cov menyuam yaus thiab cov neeg laus, feem.
Cov kab mob epiphyseal thiab metaphyseal ncig tshwm sim nyias hauv cov menyuam yaus. Tab sis nyob rau hauv cov me nyuam mos, cov hlab ntsha epiphyseal sib txuas lus nrog cov hlab ntsha metaphyseal, ua rau muaj kev kis tus kab mob hauv metaphyses kis mus rau epiphyses. Neonatal osteomyelitis feem ntau tshwm sim hauv lub xub pwg nyom thiab lub duav. Ob leeg no muaj intraarticular metaphyses. Yog li ntawd, subperiosteal taug qab cov kua paug los ntawm cov metaphyses mus rau hauv qhov sib koom ua ke tuaj yeem ua rau mob caj dab septic.
YPathogenesis ntawm Osteomyelitis
Colonization ntawm cov kab mob hauv cov pob txha tom qab bacteremia lossis septicemia ua rau mob hnyav thiab suppuration. Nrog rau tsub zuj zuj ntawm inflammatory infiltrate lub siab intraosseous nce. Cov theem no yog hu ua mob osteomyelitis hauv cov tshuaj kho mob. Tus neeg mob feem ntau febrile thiab yws ntawm qhov mob hnyav ntawm qhov chaw muaj tus kab mob.
Yog tias tsis kho, qhov nce siab hauv lub cev tuaj yeem cuam tshuam cov ntshav mus rau thaj tsam cuam tshuam, ua rau cov ntshav stasis thiab thrombosis tom qab. Qhov kawg tshwm sim ntawm cov txheej txheem no yog ischemic tuag ntawm cov pob txha tsim fragments hu ua sequestra. Thaum cov sequestra no tau tsim, nws tsis tuaj yeem tshem tawm cov kab mob los ntawm lawv vim tsis muaj ntshav txaus. Thaum kawg, tus kab mob no mus rau hauv osteomyelitis ntev.
Raws li kev kho mob, lub periosteum pib tsim cov pob txha tshiab hu ua involucrum nyob ib ncig ntawm lub sequestra. Qhov no yog ib tug yam ntxwv feature ntawm tus mob osteomyelitis.
Cov teeb meem ntawm Osteomyelitis
- Tsim cov abscesses
- Septic mob caj dab
- pob txha deformities
- Pathological fractures- pathological fractures nyob rau hauv lub vertebrae yuav ua rau neurological deficits
- Squamous cell metaplasia ntawm lub sinus tracts tuaj yeem ua rau squamous cell carcinoma
- Secondary amyloidosis
- Septicemia
Kev tshawb nrhiav
- X-ray
- Tag nrho cov xov tooj dawb suav thiab suav qhov sib txawv
- ESR thiab C reactive protein
Daim duab 1: Osteomyelitis ntawm thawj MTP
Tuberculous Osteomyelitis
Nyob hauv cov teb chaws tsim kho, qhov no feem ntau tshwm sim hauv cov tib neeg tiv thaiv kab mob. Feem ntau, nws yog vertebrae uas feem ntau cuam tshuam los ntawm tuberculous osteomyelitis.
Cov kab mob tuaj yeem ncav cuag cov pob txha los ntawm cov ntshav, cov qog ntshav los yog txuas ncaj qha los ntawm cov chaw cuam tshuam xws li lub ntsws thiab cov qog ntshav siab.
Brodie's abscess
Qhov no yog ib qho chaw, subacute thiab indolent daim ntawv ntawm osteomyelitis.
Dab tsi yog Septic Arthritis?
Septic mob caj dab yog qhov mob ntawm cov pob qij txha vim kev cuam tshuam ntawm synovial membrane los ntawm microbes.
Risk Groups
- Cov me nyuam
- Cov neeg mob ntshav qab zib
- Cov neeg uas muaj kev sib koom tes sib koom tes
- IV neeg quav yeeb tshuaj
- YStaphylococcus aureus
- Neisseria gonorrhoeae
- Gram negative bacilli
Hemophilus influenza
Routes of nkag
- Hematogenous kis
- Drect extension ntawm osteomyelitis
- Kev raug mob ncaj qha xws li kev raug mob nkag mus
Tshuaj Kho Mob
- Malaise
- Edema ib ncig ntawm kev sib koom ua ke
Kev Teeb Meem ntawm Septic Arthritis
- Yog tias tsis kho kom raug puas tsuaj rau cov qauv hauv qab tuaj yeem ua rau qis qis. Septic arthritis paub tias yuav ua rau muaj kev pheej hmoo ntawm osteoarthritis hauv lub neej tom ntej.
- Septicemia
Daim duab 02: Septic mob caj dab raws li pom thaum lub sij hawm arthroscopy
Dab tsi zoo sib xws ntawm Osteomyelitis thiab Septic Arthritis?
- Ob qho xwm txheej yog kis kab mob cuam tshuam rau lub cev pob txha
- Staphylococcus aureus yog tus kab mob uas tshwm sim tshaj plaws ntawm ob qho tib si osteomyelitis thiab septic mob caj dab
Qhov txawv ntawm Osteomyelitis thiab Septic Arthritis yog dab tsi?
Osteomyelitis vs Septic Arthritis |
|
| Ib kab mob ntawm cov pob txha raug txheeb xyuas tias yog osteomyelitis. | Septic mob caj dab yog qhov mob ntawm cov pob qij txha vim qhov cuam tshuam ntawm cov ntaub so ntswg los ntawm microbes. |
| feeb | |
| Qhov no cuam tshuam rau metaphyses lossis epiphyses ntawm cov pob txha. | Qhov no cuam tshuam rau pob qij txha. |
Summary – Osteomyelitis vs Septic Arthritis
Osteomyelitis yog tus kab mob ntawm cov pob txha whereas septic mob caj dab yog qhov mob ntawm cov pob qij txha vim kev cuam tshuam ntawm cov ntaub so ntswg los ntawm microbes. Qhov no yog qhov sib txawv tseem ceeb ntawm septic mob caj dab thiab osteomyelitis. Ob qho xwm txheej no yuav tsum tau xav tias thaum twg tus neeg mob yws txog cov tsos mob cuam tshuam. Kev soj ntsuam ntawm cov xwm txheej txaus ntshai thiab txheeb xyuas cov tib neeg uas muaj kev pheej hmoo yog qhov tseem ceeb hauv kev txo qis qhov tshwm sim ntawm tus kab mob.
Download PDF Version of Osteomyelitis vs Septic Arthritis
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Osteomyelitis thiab Septic Arthritis.
