Question

Case Scenario: A 65-year-old man presents at the ER with a high temperature, extreme pain in...

Case Scenario: A 65-year-old man presents at the ER with a high temperature, extreme pain in his right hip, and an open wound at the site of the pain. He had a hip replacement seven days ago without incident. The doctor asks for a culture of the wound drainage, x-ray, and immediate admittance to an ICU. Diagnosis is osteomyelitis.

  1. Question: What symptoms led the doctor to give this diagnosis? You will need to defend your answer using specific facts, data

Homework Answers

Answer #1

Prosthetic joints are at risk of acute and chronic infection.

Osteomyelitis is a possible condition occured after hip or knee replacement.

Osteomyelitis infection occured days or weeks after the surgery.

The symptoms after the surgery includes:

  • fevers (more than 101F),
  • chills,
  • excessive redness
  • opening wound edges
  • prolonged or excessive wound drainage
  • cloudy wound drainage
  • foul smells

Here patient presented with complaints of high temperature, pain over the hip, open wound over the hip and wound drainage.

Culture of wound drainage and x ray can diagnose this condition.

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