Osteomyelitis - Revision history

Mikael Häggström: /* Further workup */ neuts

2025-03-06T14:35:56Z

Further workup: neuts

← Older revision		Revision as of 10:35, 6 March 2025
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	===Further workup===		===Further workup===
	[[File:Mark made at significant osteomyelitis inflammation.jpg\|thumb\|Green mark made at significant osteomyelitis inflammation.]]		[[File:Mark made at significant osteomyelitis inflammation.jpg\|thumb\|Green mark made at significant osteomyelitis inflammation, by multiple neutrophils.]]
	For '''[[toe]]''' amputations, determine its extent, particularly compared to the bony surgical or articular margin. Start at the margin and scan the bone at at least intermediate magnification until significant inflammation is seen. Preferably make a mark there and measure the distance from the mark to the margin.		For '''[[toe]]''' amputations, determine its extent, particularly compared to the bony surgical or articular margin. Start at the margin and scan the bone at at least intermediate magnification until significant inflammation is seen. Preferably make a mark there and measure the distance from the mark to the margin.

Mikael Häggström: /* Gross processing */ Specified

2021-09-20T17:30:57Z

Gross processing: Specified

← Older revision		Revision as of 13:30, 20 September 2021
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	==Gross processing==		==Gross processing==
	*'''Measure''' the specimen.		*'''Measure''' the specimen.
	*'''~~Decalcify~~'''~~, after bisection of~~ visibly ~~affected~~ areas ~~if needed for penetration of~~ the ~~solution~~.		*'''Bisect''' clinically or visibly suspected areas, in longitudinal direction when possible.
			*'''Fix''' the specimen in formalin.
			*'''Decalcify''' the specimen.
	*'''Sample''' from:		*'''Sample''' from:
	:*Visibly '''affected''' areas		:*Visibly '''affected''' areas

Mikael Häggström: /* Gross processing */ Specified

2021-04-01T23:03:51Z

Gross processing: Specified

← Older revision		Revision as of 19:03, 1 April 2021
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	==Gross processing==		==Gross processing==
	*Measure the specimen		*'''Measure''' the specimen.
	*~~Put in decalcification~~, after bisection of visibly affected areas if needed for penetration of the solution		*'''Decalcify''', after bisection of visibly affected areas if needed for penetration of the solution.
	*~~Take sections of visibly afected~~ areas.		*'''Sample''' from:
	*Potentially sample as a standard '''[[amputation]]''', such as for '''[[toe]]'''		:*Visibly '''affected''' areas
			:*Proximal surgical bony '''margin''', if present, [[inked]] and as a longitudinal section.
			*Potentially sample as a standard '''[[amputation]]''', such as for '''[[toe]]'''.

	==Microscopic evaluation==		==Microscopic evaluation==

Mikael Häggström: /* Gross processing */ Example

2020-11-25T13:30:53Z

Gross processing: Example

← Older revision		Revision as of 09:30, 25 November 2020
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	*Put in decalcification, after bisection of visibly affected areas if needed for penetration of the solution		*Put in decalcification, after bisection of visibly affected areas if needed for penetration of the solution
	*Take sections of visibly afected areas.		*Take sections of visibly afected areas.
	*Potentially sample as a standard [[amputation]]		*Potentially sample as a standard '''[[amputation]]''', such as for '''[[toe]]'''

	==Microscopic evaluation==		==Microscopic evaluation==

Mikael Häggström: /* Further workup */ +Image

2020-11-24T13:18:53Z

Further workup: +Image

← Older revision		Revision as of 09:18, 24 November 2020
Line 17:		Line 17:

	===Further workup===		===Further workup===
			[[File:Mark made at significant osteomyelitis inflammation.jpg\|thumb\|Green mark made at significant osteomyelitis inflammation.]]
	For '''[[toe]]''' amputations, determine its extent, particularly compared to the bony surgical or articular margin. Start at the margin and scan the bone at at least intermediate magnification until significant inflammation is seen. Preferably make a mark there and measure the distance from the mark to the margin.		For '''[[toe]]''' amputations, determine its extent, particularly compared to the bony surgical or articular margin. Start at the margin and scan the bone at at least intermediate magnification until significant inflammation is seen. Preferably make a mark there and measure the distance from the mark to the margin.

Mikael Häggström: /* Further workup */ Significant

2020-11-24T13:13:40Z

Further workup: Significant

← Older revision		Revision as of 09:13, 24 November 2020
Line 17:		Line 17:

	===Further workup===		===Further workup===
	For '''[[toe]]''' amputations, determine its extent, particularly compared to the bony surgical or articular margin. Start at the margin and scan the bone at at least intermediate magnification until inflammation is seen. Preferably make a mark there and measure the distance from the mark to the margin.		For '''[[toe]]''' amputations, determine its extent, particularly compared to the bony surgical or articular margin. Start at the margin and scan the bone at at least intermediate magnification until significant inflammation is seen. Preferably make a mark there and measure the distance from the mark to the margin.

	===Microscopic report===		===Microscopic report===

Mikael Häggström: /* Microscopic evaluation */ Expanded

2020-11-24T13:10:38Z

Microscopic evaluation: Expanded

@@ Line 15: / Line 15: @@
 File:Histopathology of acute osteomyelitis.jpg|'''Acute''' osteomyelitis: Numerous neutrophils in the stroma.
 </gallery>
 {{Bottom}}

Mikael Häggström: /* Microscopic evaluation */ Space

2020-10-06T16:33:39Z

Microscopic evaluation: Space

← Older revision		Revision as of 12:33, 6 October 2020
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	The main sign of '''acute osteomyelitis''' is the presence of numerous neutrophils in the stroma. It may also have lymphocytes, plasma cells, bone necrosis,' capillary proliferation and fibrosis.<ref>{{cite web\|url=https://www.pathologyoutlines.com/topic/bonebacterialosteomyelitis.html\|title=Bone & joints - Osteomyelitis - Bacterial osteomyelitis (acute)\|website=PathologyOutlines\|author=Dariusz Borys}} Topic Completed: 1 June 2012. Minor changes: 28 June 2019</ref>		The main sign of '''acute osteomyelitis''' is the presence of numerous neutrophils in the stroma. It may also have lymphocytes, plasma cells, bone necrosis,' capillary proliferation and fibrosis.<ref>{{cite web\|url=https://www.pathologyoutlines.com/topic/bonebacterialosteomyelitis.html\|title=Bone & joints - Osteomyelitis - Bacterial osteomyelitis (acute)\|website=PathologyOutlines\|author=Dariusz Borys}} Topic Completed: 1 June 2012. Minor changes: 28 June 2019</ref>
	<gallery>		<gallery>
	File:Histopathology of acute osteomyelitis.jpg\|'''Acute'''osteomyelitis: Numerous neutrophils in the stroma.		File:Histopathology of acute osteomyelitis.jpg\|'''Acute''' osteomyelitis: Numerous neutrophils in the stroma.
	</gallery>		</gallery>
	{{Bottom}}		{{Bottom}}

Mikael Häggström: Expanded

2020-10-06T15:36:06Z

Expanded

New page

{{Top
|author1=[[User:Mikael Häggström|Mikael Häggström]]
|author2=
}}

==Gross processing==
*Measure the specimen
*Put in decalcification, after bisection of visibly affected areas if needed for penetration of the solution
*Take sections of visibly afected areas.
*Potentially sample as a standard [[amputation]]

==Microscopic evaluation==
The main sign of '''acute osteomyelitis''' is the presence of numerous neutrophils in the stroma. It may also have lymphocytes, plasma cells, bone necrosis,' capillary proliferation and fibrosis.<ref>{{cite web|url=https://www.pathologyoutlines.com/topic/bonebacterialosteomyelitis.html|title=Bone & joints - Osteomyelitis - Bacterial osteomyelitis (acute)|website=PathologyOutlines|author=Dariusz Borys}} Topic Completed: 1 June 2012. Minor changes: 28 June 2019</ref>
<gallery>
File:Histopathology of acute osteomyelitis.jpg|'''Acute'''osteomyelitis: Numerous neutrophils in the stroma.
</gallery>
{{Bottom}}