Name: Philip Braude

Theme: Bone Infection

OPTION LIST

A	Brodie’s abscess	I	Salmonella osteomyelitis
B	Clutton's joints	J	Septic arthritis
C	Lateral Epicondylitis	K	Staphyloccus osteomyelitis
D	Leukaemia	L	Tuberculous osteomyelitis
E	Osteoporosis	M
F	Paget’s disease	N
G	Painful crisis	O
H	Pott’s disease	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 35 year old lady with a history of TB presents with collapsed cervical vertebrae, a marked kyphosis causing difficulty in moving.

2. Mr PD, a 26 year old musician, arrives in A&E with a warm, painful abscess on his inner upper forearm surrounded by puncture marks, he has a low grade fever. He reports no problem in playing his guitar, but does forget lyrics on stage.

3. Accompanying Mr PD, is a 17 year old female with a larger, redder, painful abscess on her inner upper forearm. She has almost no movement in her elbow.

4. Your Consultant spotlights you to expand on the diagnosis of osteomyelitis in a gentleman with a history of sickle cell crises, presenting with bone pain and excessive sweating. On X-ray he informs you there is “cortical destruction, involucrum and sequestra”.

5. A 10 year old boy presents with moderate pain in his lower leg, little redness and swelling, remitting for 6 months. He tells you last time he had an X-ray it showed “a well defined ovoid shape with a surrounding sclerotic margin but little involucrum in his tibia”.

ANSWERS

1. H

2. K

3. J

4. I

5. A