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Phatophysiology

of
Chronic Osteomyelitis
Legend:
*-related to patients case
-disease process
-box with a broken line
indicates the signs and
symptoms

Precipitating Factors:
Predisposing Factors: IV Drug use
Age-50 yrs old and older Smoking
*Gender-Male Lack of Exercise
Race-black High calorie intake
Diabetes Mellitus (type1) *High alcohol intake
Low protein and low
Calcium diet
Hemodialysis
Decubitus ulcer
Tooth or gum infection
*indwelling prosthetic
device

Open wound or fracture

Microorganisms gain entry by


way of blood

Microorganisms lodge into an Fever


Night sweats
area where circulation slows
Chills
Restlessness
Microorganisms grow Nausea
*Body malaise
Inflammation *Constant bone
pain

Accumulation of fluid *Swelling


Tenderness
*Warmth at the
Increase pressure infection site
*Restricted
movement of the
Vascular compromise of affected part
the periosteum(Ischemia)

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