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Bone AND Joint Infections — Written Clinical Reasoning
DCE-style written reasoning for Bone AND Joint Infections.
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Target exams
FRACP DCEMRCP Part 2
Prompt
DCE-style written reasoning for Bone AND Joint Infections.
SAQ 1 — Integrated plan (12 marks)
Prompt: Provide a prioritised problem list and management sequence for this presentation. [1] [2]
Model Answer
1. Frame and red flags (3 marks) [1]
State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [1] [2]
2. Discriminating assessment (3 marks) [2]
List the key history, examination and investigations that separate dangerous differentials from benign mimics. [1] [2]
3. Treatment sequence (4 marks) [1] [3]
Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [1] [2] [3]
4. Follow-up and communication (2 marks) [2]
Disposition, safety-net advice, and who owns follow-up. [1] [2]
References6ShowHide
- [1]Berbari EF, Kanj SS, Kowalski TJ, et al. 2015 Infectious Diseases Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Clin Infect Dis, 2015.PMID 26229122
- [2]Osmon DR, Berbari EF, Berendt AR, et al. Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis, 2013.PMID 23223583
- [3]Mathews CJ, Weston VC, Jones A, et al. Bacterial septic arthritis in adults. Lancet, 2010.PMID 20206778
- [4]Lipsky BA, Berendt AR, Cornia PB, et al. 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis, 2012.PMID 22619242
- [5]Li HK, Rombach I, Zambellas R, et al. Oral versus Intravenous Antibiotics for Bone and Joint Infection. N Engl J Med, 2019.PMID 30699315
- [6]Mitrovic S, Delplanque M, Ea HK, Frémond ML, et al. Club Rhumatismes et Inflammation guidelines for anti-interleukin-1 therapy: 2026 update Joint Bone Spine, 2026.PMID 42276158