Chronic Osteomyelitis

Topics: Bone, Skeletal system, Human skeleton Pages: 6 (1508 words) Published: August 25, 2013
I. Introduction
An infection of the bone or bone marrow .It can be usefully sub classified on the basis of the causative organism (pyogenic bacteria or mycobacteria), the route, duration and anatomic location of the infection. In children, the disease usually results from untreated acute hematogenous osteomyelitis. The bone may be predisposed to infection due to recent trauma. Especially in times of civil unrest or war or as a complication of surgical procedures such as open reduction and internal fixation of fractures which is the most common means of bone infection in children. The long bones are affected most commonly, and the femur and tibia account for approximately half of the cases. Predisposing factors include poor hygiene, anemia, malnutrition, and a coexisting infectious disease burden (parasites, mycobacteria, acquired autoimmune deficiency syndrome), or any other factors that decrease immune function. Chronic osteomyelitis is defined by the presence of residual foci of infection (avascular bone and soft tissue debris), which give rise to recurrent episodes of clinical infection

Symptoms of Osteomyelitis
Some of the most common symptoms of osteomyelitis are:
* Pain in the bone
* Local swelling
* Redness, and warmth
* High fever
* Nausea
* An abscess at the site of infection.

II. Patients Profile:
Name: L.P
Age: 7 years old
Religion: Catholic
Chief Complain: Pain on the LEFT thigh
History: At the age of 3 years old, patient had also experienced having pus on her Left thigh, and went to surgery. Diagnosis: Chronic Osteomyelitis; Left Femur; Abscess on the Left Anterior Thigh Surgery: Debridement of Left Thigh; Corticotomy of Left Thigh

III. Laboratory Results:
| Result| Normal value|
Hemoglobin| 128| 110-158|
Hematocrit| 0.30| 0.37-0.54|
MCV| 78| 82-92|
MCH| 25| 28-32|
MCHC| 32| 32-38|
Segmenters| 0.71| 0.5-0.71|
Lymphocytes| 0.18| 0.20-0.40|
Monocytes| 0.08| 0.00-00.07|
Eosinophil| 0.03| 0.00-0.05|
Platelet| 624| 150-400|

IV. Anatomy and Physiology:

Human musculoskeletal system
A musculoskeletal system (also known as the locomotor system) is an organ system that gives animals (including humans) the ability to move using the muscular and skeletal systems. The musculoskeletal system provides form, support, stability, and movement to the body. It is made up of the body’s bone the skeleton, muscles, cartilage, tendons, ligaments, joints, and other connective tissue (the tissue that supports and binds tissues and organs together). The musculoskeletal system's primary functions include supporting the body, allowing motion, and protecting vital organs. The skeletal portion of the system serves as the main storage system for calcium and phosphorus and contains critical components of the hematopoietic system. This system describes how bones are connected to other bones and muscle fibers via connective tissue such as tendons and ligaments. The bones provide the stability to a body in analogy to iron rods in concrete construction. Muscles keep bones in place and also play a role in movement of the bones. To allow motion different bones are connected by joints. Cartilage prevents the bone ends from rubbing directly on to each other. Muscles contract (bunch up) to move the bone attached at the joint. There are, however, diseases and disorders that may adversely affect the function and overall effectiveness of the system. These diseases can be difficult to diagnose due to the close relation of the musculoskeletal system to other internal systems. The musculoskeletal system refers to the system having its muscles attached to an internal skeletal system and is necessary for humans to move to a more favorable position. Subsystems:

* Skeletal
The Skeletal System serves many important functions; it provides the shape and form for our bodies in addition to supporting, protecting, allowing bodily...
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