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.
Should I start antibiotic before getting the results of lab???
🌹🌹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
🤲🤲🌹🙏🙏🙏🙏🌹🤲🤲
Dose of floxacillin 50mg/kg per dose or day?
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
🌹🤲🤲🙏🙏🙏🤲🌹
asslalamu alaikum, it excellent. liked it too much.
God bless you and your family