How approach for septic arthritis? the most common cause,site, source, complication,presentation,Ttt

[@DrHabiburRahimspeaking]

asslalamu alaikum, it excellent. liked it too much.

[@dr.tageldinaly]

God bless you and your family

[@dr.tageldinaly]

Laboratory Studies 1..WCC greater than 12.0 x 109 cells/L, 2.ESR greater than 40 mm/hr 3.CRP greater than 20 mg/L are significantly more common in septic arthritis when compared to transient synovitis.

[@N-L20]

Should I start antibiotic before getting the results of lab???

[@dr.tageldinaly]

🌹🌹This is medical emergency 🌹🌹 Depending on your working diagnosis From 1. History 2. Physical examination 3. Your assessment, evaluation or impressions Professional diagnosis Then Confirm 👍 you diagnosis by 1. Laboratory Studies 2. Imaging Studies 3. Specific test like synovial fluid analysis (gold standard) Then will come the treatment Empirical treatment ( before Laboratory Studies) Then therapeutic treatment ( after culture) رب يحفظك ويوفقك ويسعدك يارب 🤲🤲🌹🙏🙏🙏🙏🌹🤲🤲

[@N-L20]

@@dr.tageldinaly و إياكم

[@dr.tageldinaly]

@@N-L20 🌹🤲🤲🤲🙏🙏👍👍👍👍👍🙏🤲🤲🌹

[@hagar2051]

Dose of floxacillin 50mg/kg per dose or day?

[@dr.tageldinaly]

Per dose not per day 1.Gold standard a synovial fluid sample has been obtained, high-dose, empirical, intravenous (IV) antibiotics are commenced. Unless contraindicated, 2. flucloxacillin 50 mg/kg (max 2 g) IV every 6 hours is used. 2.patient with Delayed penicillin hypersensitivity cephazolin 50 mg/kg (max 2 g) IV every 8 hours is recommended. 3.For patients with immediate penicillin hypersensitivity, vancomycin 30 mg/kg (max 1.5 g) IV every 12 hours is recommended. ومن احياها فكأنما احيا الناس جميعا 🌹🤲🤲🙏🙏🙏🤲🌹

[@hagar2051]

Cefazoline first or third generation cephalosporins?

[@dr.tageldinaly]

First generation cephalosporin رب يحفظك ويوفقك ويسعدك يارب 🤲🤲🙏🙏🙏🤲🤲🌹

[@imtiazmagsi3943]

3rd generation Cephalosporins plus Vancomycin.