drk1980
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Which of the following statements concerning Osteomyelitis is NOT correct.
1. In children it usually results from hematogenous spread of S. aureus
2. Osteomyelitis in an IV drug user is usually caused by the same organism that is responsible for infection in burn victims
3. It is associated with fever and pain on palpation.
4. Infections characteristically involve the radius and ulna
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| star1
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| msyamp
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2. ivdrug user it is staph burs infectin pseudmonas
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| skyhigh
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2
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| drk1980
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4 is NOT correct.....in adults osteomyelitis is usually after a penetrating injury or surgical manipulation.
Here's smthng to know:
Unusual Organisms and Osteomyelitis
Penetrating trauma: soil organisms, yeast, gram negative
Hemoglobinopathies: salmonella
Brucella: sacroiliitis
IV drug abuse: P. aeruginosa
Chronic Osteomyelitis: Gram negative enteric, Staphylococcus
Fractures, surgery: chronic osteomyelitis
Contiguous Infection: anaerobes (bite, ulcer, sinusitis, mastoiditis)
Fungi: disseminated H. capsulatum, C. immitis
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| msyamp
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- Tibia (50%)
Femur (30%)
Fibula (12%)
- Humerus (3%)
Ulna (3%)
Radius (2%)
boss!! so what do you say if it is due to manipulation it does not involve radius and lna? 
any way this a bit contraversial question. the aboe are the frequency of bones involved in infection.
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| drk1980
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right! the stats u displayed just reinforce the answer to this Q!
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| msyamp
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drk iam sorry yaar. you are riht.
staph is still the no 1 organism i burn. though psudemonas iss present
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