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0
Puncture Wound Infections
Author:
Derek Moore
Topic updated on
05/09/13 9:10pm
Introduction
Mechanism is usually a nail or stick through a sock
Organism
pseudomonas (a gram negative rod)
Presentation
Presentation
often present weeks to a month after initial injury
limb
Physical exam
swollen and tender foot
Imaging
Radiographs
normal early
bone destruction seen later
Diagnosis
MRI
Treatment
Surgical debridement
Follow with IV Abx
convert to PO abx was clinical picture improves
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ABOS II: Puncture Wound Infections
General
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Oral Boards Review
7/29/2011
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Evidence & References
Show References
Textbooks
Review of Orthopaedics, 6th Edition, Mark D. Miller MD, Stephen R. Thompson MBBS MEd FRCSC, Jennifer Hart MPAS PA-C ATC, an imprint of Elsevier, Philadelphia, Copyright 2012
AAOS Comprehensive Orthopaedic Review, Jay R. Leiberman. Published by American Academy of Orthopaedic Surgeons, Rosemont IL. Copyright 2009
Orthopaedic Knowledge Update 10, John M Flyn. Published by American Academy of Orthopaedic Surgeons, Rosemont IL. Copyright 2011
Hoppenfeld SP. Surgical Exposures in Orthopaedics: The Anatomic Approach. Lipponcott, Williams, and Wilkins, Philadelphia, PA, Copyright 2009
Orthopaedic In-training Examination (OITE) Questions 2004-2012, American Academy of Orthopaedic Surgeons, Rosemont IL. Copyright 2004-2012
Self-Assessment Examination (SAE) Questions 2004-2012, American Academy of Orthopaedic Surgeons, Rosemont IL. Copyright 2004-2012
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