Question

In: Nursing

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: Who is most at risk for this disease and why? Include in your answer specific facts, data, examples, and other information drawn from your textbook and at least one other supplemental source.

Solutions

Expert Solution

Ans-

Osteomyelitis is an the infection of bone. Infections can reach to a bone by traveling through the bloodstream and spread from the nearby tissue. Osteomyelitis can be also begin in the bone itself by injury exposes the bone to the germs.

Risk Factor-

The annual incidence of osteomyelitis are adjusted for age and sex, was 21.8 cases per 100,000 population. The annual incidence rate in men is higher than in women.and incidence of this increases with age.

Your bones are normally resistant to the infection. For osteomyelitis to occur, a situation that makes your bone the vulnerable must be present.

1)Recent injury or orthopedic surgery

2)A severe bone fracture or a deep puncture wound gives infections a route to enter your bone or nearby tissue.

3)Surgery to repair broken bones or replace worn joints also can accidentally open a path for germs to enter a bone.

4)Deep animal bites also can provide a pathway for infection.

5)When the blood vessels are damaged or blocked, your body has trouble in the distributing the infection fighting cells and needed to keep a small infection from growing larger.a small cut can progress to the deep ulcer that may expose deep tissue and bone to infection.

6)Poorly controlled diabetes.

7)Peripheral arterial disease, often related to smoking.

8)Sickle cell disease have risk for osteomyelitis.

9)Problems requiring intravenous lines or catheters.

10)There are a number of conditions that require the use of medical tubing to connect the outside world with your internal organs. However, this tubing can also serve as a way for germs to get into your body, increasing your risk of an infection in general, which can lead to osteomyelitis.

11)If your immune system is the affected by a medical condition or some medication, you have a greater risk of osteomyelitis.


Related Solutions

Case Scenario: A five year old presents with high temperature (> 101), oxygen saturation of 78%,...
Case Scenario: A five year old presents with high temperature (> 101), oxygen saturation of 78%, and breathing that is labored. His breathing could be heard throughout the ER. The mother states he has had a cold with some mucus in his lungs but has had few problems. The family has been sick with colds. The physical history of this patient shows a well-nourished, functioning child with no history of pulmonary issues. He has had some allergies that have been...
Scenario: Mr. Smith is a 65-year-old man who presents to the ED with a complaint of...
Scenario: Mr. Smith is a 65-year-old man who presents to the ED with a complaint of pain in his left foot. He states, “I just don’t feel well. I was fine when I came back from Florida last week. My foot hurt a little, but I wasn’t worried about it. Now, the pain is becoming worse and I feel awful. I think I might have the flu” Pt states his blood pressure normally is around 118/74 and his pulse is...
Case Scenario: A 16-year-old female presents at the clinic with extreme fatigue and shortness of breath...
Case Scenario: A 16-year-old female presents at the clinic with extreme fatigue and shortness of breath while playing volleyball. She has been in good health until about six months ago. During these six months, she has had several colds and flu events where she was unable to do normal activities. Her mother reports she spends a great deal of time sleeping, sometimes twelve hours, and complains of fatigue when she awakens. She is pale and appears to have little energy....
Case Scenario: A 16-year-old female presents at the clinic with extreme fatigue and shortness of breath...
Case Scenario: A 16-year-old female presents at the clinic with extreme fatigue and shortness of breath while playing volleyball. She has been in good health until about six months ago. During these six months, she has had several colds and flu events where she was unable to do normal activities. Her mother reports she spends a great deal of time sleeping, sometimes twelve hours, and complains of fatigue when she awakens. She is pale and appears to have little energy....
A 50 year old male presents to the ER complaining of severe pain in his left...
A 50 year old male presents to the ER complaining of severe pain in his left toe. The pain was sudden in onset and he describes the pain as sharp and non radiating. He is having difficulty bearing weight on his foot. His past medical history is significant for essential hypertension which is well controlled with an Ace inhibitor. Examination is significant for an inflamed first metatarsal phalangeal joint. In passing, he states that he enjoys a good meal, like...
Suppose a 50 year old female presents to the ER with chest pain after eating a...
Suppose a 50 year old female presents to the ER with chest pain after eating a meal consisting of a large portion of red meat, creamy sauce, and potatoes. The woman's bloodwork shows very elevated levels of serum cholesterol. It is likely she had a heart attack and will start taking statins in order to reduce her cholesterol levels. What impact do the statins have on HDL, LDL, and her triglyceride levels?
A 35-year-old man presents to the emergency department with complaints of chest pain. The pain improves...
A 35-year-old man presents to the emergency department with complaints of chest pain. The pain improves by leaning forward. On review, he has noted a flu-like illness over the last several days including fever, runny nose and cough. Upon further investigation his blood test indicates signs/parameters for infection. He denies tobacco, alcohol or drug use. His head and neck examination is notable for clear mucus in the nasal passages. However, his jugular venous pressure is high. Also, during his cardiac...
A 28 year old female presents to the ER with upper right abdominal pain. She states...
A 28 year old female presents to the ER with upper right abdominal pain. She states her pain begins around abdomen and radiates to her right breast bone and upper back. She presents with nausea and vomiting x3 episodes, abdominal bloating, and flatulence. Her V/S are: TEMP 101.4°F, PR 92, BP 138/72, RR 20, O2 99% at room air. Patient is 5’3” and 181 lbs. with BMI of 32. Patient medical history: appendicitis with appendectomy 5/27/2020. MD wants to have...
Kevin, a 65-year-old male, presents to the office with chest pain complaints on inspiration and shortness...
Kevin, a 65-year-old male, presents to the office with chest pain complaints on inspiration and shortness of breath(SOB). He states that the chest pain began about 12 hours ago and feels like a sharp pain in the center of his chest. When the pain began, he immediately took aspirin and then went to bed. When he woke up this morning, the pain was still there. Although not as intense. The patient’s medical history includes nephrolithiasis and gastroesophageal reflux disease. Social...
P.P. is a 24-year-old man who presents to the physician’s office with pain in his right...
P.P. is a 24-year-old man who presents to the physician’s office with pain in his right ear. Subjective Data Patient states that he woke up in the middle of the night, with ear pain, 2 nights ago. He took ibuprofen, and he went back to sleep. Last night he woke up in pain, and he was really uncomfortable. He felt the physician should see him. Objective Data TM appears inflamed—it is red and may be bulging and immobile T =...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT