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Inflamatory Disorders of Bones and Joints: - Reactive Process: Cell + Exudates - Accumulative - Irritated
Inflamatory Disorders of Bones and Joints: - Reactive Process: Cell + Exudates - Accumulative - Irritated
INFLAMATORY PROCESS:
a. rubor ( redness )
b. tumor ( swelling )
c. calor ( heat )
d. dolor ( pain )
- vascular response
-Swelling :
- formation of an exudate
-Pain :
- destrution of tissue
1. Specific infection :
- osteomyelitis
- septic arthritis
- tenosynovitis
Gambar 5
b. Granulomatous (granuloma producing)
- tuberculous osteomyelitis
- tuberculous arthritis
- Rheumatic fever
- Transient synovitis
- Rheumatoid arthritis
- Spondylitis
Gambar 6
3. Chemical irritant
- Bursitis
- Tenovaginitis stenosans
Gambar 7
PYOGENIC BACTERIAL INFECTION
decreased multification
ideal antibiotic.
Gambar 8
-AB high concentrationnon-toxic
-Periods ( 4 6 ) weeks
- local pressure
- accumulation purulentdecompression
Gambar 9
ACUTE HEMATOGENOUS OSTEOMYELITIS
Incidence :
-Growing bones
-Boys : girls 4 : 1
- tibia
- humerus
- radius
-local trauma
Pathogenesis :
1. Kearah cortex
2. Menembus periosteum
3. Menyebar ke medulla
4. Menyebar ke joints
GEJALA KLINIS :
-panas tinggi
-pembengkakan
-gangguan fungsi
- leukositosis
- fistel ( + )
- radiologik : - involucrum
- sequester
PENATALAKSANAAN :
Osteomyelitis akut :
2. pengobatan supportif
3. pemeriksaan kultur
4. AB broad spetrum
5. immobilisasi
6. operatif
-Osteomyelitis kroniktidak dapat sembuh sempurna
-Indikasi pembedahan :
1. sequester
2. abscess
4. keganasan