Musculoskeletal Infection

Knowledge Objectives

Through their reading and patient care experiences, at the end of the rotation students should be able to:

Develop a differential diagnosis based on the history and physical exam.
Interpret appropriate laboratory studies
Interpret appropriately sequenced imaging studies
Describe indications for and technique for knee (or other joint) arthrocentesis
Discuss indications for nonsurgical vs. surgical treatment of cellulitis, abscesses, osteomyelitis (acute and chronic), septic arthritis, and necrotizing fasciitis.
Select appropriate initial antimicrobial therapy and appropriate antimicrobial timing based on:
patient stability
ability to obtain cultures
likely causative organism
Describe potential long-term complications of musculoskeletal infections, and design appropriate patient follow-up plans based on these risks.
Recognize prophylactic techniques used to minimize risk of musculoskeletal infection in specific patient populations.
Joint replacement patients
Sickle-cell patients
Patients with open fractures