Summary of Osteomyelitis
Flashcards on Osteomyelitis
Osteomyelitis caused by bacteremia is most common in children.
Questions on Osteomyelitis
A 33-year-old woman comes to the clinic because of a left foot puncture wound 5 days earlier. She reports that she accidentally kicked a screw sticking out of a board in her kitchen. She denies fever or fatigue, but states she has felt nauseous because of the pain. She has applied bandages and antibiotic ointment regularly. Her temperature is 37.1°C (98.8°F), pulse is 80/min, respirations are 16/min, and blood pressure is 136/72 mm Hg. Physical examination shows she is otherwise healthy, but in mild distress. The wound is located on the medial aspect of the proximal 4th digit. There is mild erythema, fragile white skin, extreme pain to palpation, tenderness on the bone near the base of the toe, and a laceration that measures 3 cm wide and 3 cm deep. A swab culture is obtained. Which of the following is the most appropriate next step in management?