Tom Smith arthritis is:
Correct Answer: Septic arthritis of infant
Description: Ref: Apley's System of Orthopaedics and Fractures, 9th editionExplanation:TOM SMITH ARTHRITISIt is septic arthritis of the hip in the infant.The femoral head at this stage is completely cartilaginous.If not treated early, the whole femoral head is destroyed, without any potential for a normal hip joint.Treatment - Urgent arthrotomy and lavage of the hip joint.Sample has to be obtained from the hip. either by aspiration or on arthrotomy, prior to starting on antibiotic, unless patient is toxic.Empirical antibiotics are started.Definitive antibiotic is started once organism culture and antibiotic sensitivity testing reports are available.ORGANISMS CAUSING SEPTIC ARTHRITIS AT DIFFERENT AGESInfants < 6 monthso Caused by wide range of organismso Broad spectrum bacteriocidal agent is required.o DOC-Cloxacillin, Methicillin, Kanamycin.6 months to 2 yearso Most common organism is Haemophilias influenza.o DOC-Ampicillin.More than 4 yearso Most common organism is staphylococcio DOC-Methicillin or Cloxaciilin.
Category:
Orthopaedics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now