5 doctors weighed in:

Father in the hospital with a bacterial infection in his toe, possibly in bone. What tests can be run to confirm this prior to amputation? He needs heart surgery so they want to be sure no infection.

5 doctors weighed in
Dr. Marsha Davis
Internal Medicine
3 doctors agree

In brief: They will

Probably do X-rays with bone windows of his toe to look for infection in the bone.
If they really can't tell maybe a bone scan but that probably won't be needed .

In brief: They will

Probably do X-rays with bone windows of his toe to look for infection in the bone.
If they really can't tell maybe a bone scan but that probably won't be needed .
Dr. Marsha Davis
Dr. Marsha Davis
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1 comment
Dr. Peter Ihle
MRI, angiography, CT with thin sliced bone windows, 1-2 mm as opposed 2, 4-5 mm.
Dr. Per Freitag
Orthopedic Surgery
2 doctors agree

In brief: MRI

x-rays and an MRI will usually indicate if there is a bone infection

In brief: MRI

x-rays and an MRI will usually indicate if there is a bone infection
Dr. Per Freitag
Dr. Per Freitag
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1 comment
Dr. Peter Ihle
If in the toe, the whole game changes if into the metatarsal. Also depends on what toe, ,if diabetic it's usually the small toe.
Dr. Michael Schwartz
Surgery - Vascular

In brief: Circulation OK?

In addition to diagnosing his osteomyelitis (bone infection) they need to make sure his circulation is OK.
This can be done by physical exam to make sure he has good pulses or doing a non-invasive arterial exam.

In brief: Circulation OK?

In addition to diagnosing his osteomyelitis (bone infection) they need to make sure his circulation is OK.
This can be done by physical exam to make sure he has good pulses or doing a non-invasive arterial exam.
Dr. Michael Schwartz
Dr. Michael Schwartz
Thank
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