A 39-year-old diabetic patient is at the clinic having a foot check done by the nurse
The nurse notes that the patient's right foot is pale and mottled, cool to touch, with a capillary refill of > 3 seconds. What would the nurse suspect the patient has?
A) Hematogenous osteomyelitis
B) Osteomyelitis with vascular insufficiency
C) Contiguous-focus osteomyelitis
D) Osteomyelitis with muscular deterioration
Ans: B
Feedback: Osteomyelitis is classified as hematogenous osteomyelitis (ie, due to blood-borne spread of infection); contiguous-focus osteomyelitis, from contamination from bone surgery, open fracture, or traumatic injury (eg, gunshot wound); and osteomyelitis with vascular insufficiency, seen most commonly among patients with diabetes and peripheral vascular disease, most commonly affecting the feet. Osteomyelitis with muscular deterioration is a detractor for this question.
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