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is brought to clinic with increasing right lower foot pain. He stepped on a nail several days ago. At that time, the family had sought a medical attention. The child was given a tetanus shot, and the wound was extensively irrigated. On examination the foot is tender, swollen, warm and erythematous. Osteomyelitis is suspected. What is the next appropriate step?
A) white cell count
B) CT scan of the foot
C) gallium scan
D) technetium bone scan
E) X-ray of the foot
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what's wrong with B and C?
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Answer------D--------------
Klebsiella
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A technetium bone scan is very effective in diagnosing osteomyletitis in the early stages.
CT scan is not sensitive enough
Gallium not used for diagnosis
Klebsiella
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thanks, when do we actually use gallium scan?
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Gallium is for follow-up reponse to treatment
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do we use gallium scan for follow up only in osteomyelitis, or there are different situations where we use this procedure?
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according to fischer.. first stesp irrespective is do an XRAy.. postive start rx
negative and no soft tissue swelling do a bone scan
negatibe and soft tissue swelling do a mri
so i would go with E
