Bursitis

Question 1

Areas bursitis

Answer 1

Olecranon = elbow
Prepatellar = maids knee
Hip = trochanteric/iliopectal
Subacromial = shoulder
ishcial = bum

Question 2

Bursitis causes - non septic and spetic

Answer 2

Non =
-Trauma or anticoag/bleed disorder
-Chronic trauma - overuse - ocupation/hobbies kneelijg
-Gout/psurdogout
-Systemic IDs eg RA, SLE, scleroderma, spondyloarthropathies

Septic
-Abrasive trauma allowed miscrorganisms -> bursa
Immunosupression, prev bursa probelms

Question 3

Bacteria bursitis

Answer 3

S aureus
Strep

Question 4

Presntation bursitis

Answer 4

Warm
Erythema
Tender
Normal ROM except extreme flexion
Difficulty walking
fever, high HR, low BP, on CCS or imunosupressed, cellulitis or abrasion or rapdily worsening septic

Question 5

Investiations bursitis

Answer 5

Clinical diagnosis - knee exam and inspect skin
Aspiration - culture and crystals
X ray if sus bony pathology, bloods if sus underlying cause eg RA, septic, uric acid, blood glucose

Question 6

Management bursitis

Answer 6

CONSERVATIVE - RICE and analgesia
Aspiration

CCS injection if no response

Septic - flucloxacillin (clarithro alternative)
Reaspirate if symptoms recur for symptom benefit

> 2 months no improvement -> specialist