Suppurative-inflamatory disease at new-born of early age (phlegmon, mastitis, omphalitis, psevdofurunkulez, limfadenit, perirectitis). Classification. Diagnostics. Tactic. Treatments. Complications. Consequences. Rehabilitation. Sharp and chronic

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Suppurative-inflamatory disease at new-born of
early age (phlegmon, mastitis, omphalitis,
psevdofurunkulez, limfadenit, perirectitis).
Classification. Diagnostics. Tactic. Treatments.
Complications. Consequences. Rehabilitation.
Sharp and chronic haematologic osteomyelitis for
children. Osteomyelitis for babies.
Classification. Diagnostics. Tactic. Treatment.
Complications. Consequences. Rehabilitation.
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FEATURES of SKIN, hypodermic-adipose of
CELLULOSE, VESSELS. 1. An organism consists of
80 of liquid. ( due to diffuzion the rapid
distribution of infection). 2. Conjuctive- tissue
barriers are absent in a hypodermic-adipose
cellulose (rapid distribution of
infection). 3.The surfase balls of skin consist
of 2-3 layers. For adults 6-7. (high trauma.
Penetration of infection). 4. Eventual type of
structure of vessels. (kolaterali
absent). 5. Perpendicular location of vessels in
relation to a skin. 6. Connection of superficial
vessels with main vessels. (generalization of
process).
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PHLEGMON of NEWBORNS It is supurrative
inflamatory diseases of soft fabrics (skin,
hypodermic-adipose celluloses) which is
characterized by rapid distribution of process,
sharp flow, predominance of necrotizing changes
above inflammatory. Localization

thorax neck lumbar area lateral surfaces
of elbow bends knee-joints Exciter staphyloco
ccus streptococcus   Source of infecting of
baby skin childbirth ways of
mother linen nasopharynx and hands of medical
men hands and nasopharynx of mother Entrance
gate skin Haematologic way through
umbilical vessels

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• Forms of flow
• 1. Simple without sharply expressed septic
  phenomena
• Toksiko-septic with the phenomena of sepsis.
• Types of complications
• 1. Unconnected with distribution of process
  depthfirst (pneumonia, otitis, dyspepsia,
  peritonitis, meningitis)
• Related to distribution of process depthfirst
  (osteomielit, festering pleurisy, pericarditis,
  festering miozit, paranephritis et cetera)
• Diferential diagnosis
• Beshikha
• Sharp haematologic osteomylitis
• hypodermic-adipose necrosis
• Treatment
• Local
• pricking all round 0,25 by solution of
  novocaine with antibiotics near a hearth (day's
  dose)
• notches
• bandaging with a 25 solution of magnesia

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General disintoxication therapy (v/v
introduction of salt and albuminous
preparations) antibacterial therapy stimulant
therapy desensitizing therapy (Dimedrolum,
chorus calcium, Pipolphenum, Suprastinum and
other)
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Treatment
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OMPHALITIS It is inflammation of umbilical wound
with distribution on a skin and other soft
fabrics, that surround a belly-button.
Clinic 1. Simple form a) getting wet
belly-button b)
Fungus of belly-button 2. Phlegmonous with a
calciphylaxis or without 3. Necrotizing with a
calciphykaxis or without.
Dif. diagnostic innate swish and incomplete
swish of belly-button phlegmon of
new-borns diphtheria of belly-button calcine of
belly-button
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.

• Treatment
• Simple form
• local treatment (a treatment of fossula -
  cauterization (5,10 iodine nitric acid silver,
• 25 manganese) fungus is bandaged at foundation
  and choped off. Stump is processed by
  antiseptics.
• Phlegmonous form
• 1. Prick all round by antibiotic with Novocain
• 2. UVCH, quartz
• 3. At presence of abscess the dissection is
  needed
• 4. At calciness - a curettement by the spoon of
  Fol'kmana, and then is the treatment of wound,
  bandages.
• 5. Notches at an anecessity .
• Necrotizing form
• 1. Notches
• 2. Pricking all round
• 3. Bandaging in 2 hours

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• THE THEORIES OF HAEMATOLOGIC OSTEOMYELITIS
• 1. Vascular- thrombembolic (bobrova-leksera) 1882
• 2. Allergic theory (derizhanova V.S., 1940)
• 3. Nervous- reflex (Elanskiy n.I., 1954)
• Aseptic necrosis (Stenula v.I., 1989)
• LOCALIZATION OF OSTEOMYELITIS PROCESS
• 1. Thigh-bone 30,8
• 2. Tibia 21,9
• 3. Humeral 10.3
• 4. Bones of pelvis 8,2
• 5. Bones of feet 8.9
• 6. Bones of spine 2,0

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CLINIC OF HAEMATOLOGIC OSTEOMYELITIS Junior
group (before 3 years) Senior group (before15
years) Main symptoms Forms Local
form languor loss of appetite a temperature
is normal or 37,8 degrees tachycardia tachypno
e dryness of mucous membranes enteroplegia c
apriciousness complaints about pain forced
position of body and extremity temperature of
body 38 degrees dryness of mucous
membranes The stage of hypodermic
phlegmon absents clinic of v/bone phlegmon
presence of the local slight swelling sometimes
hyperemia
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X-ray images acute osteomelitis
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X-ray images acute osteomelitis
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Immobilization
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