Pott's disease physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pott's disease}} | {{Pott's disease}} | ||
{{CMG}}; {{AE}} {{HP}} | {{CMG}}; {{AE}} {{HP}}; {{AKI}} | ||
==Overview== | |||
Physical examination findings in spinal tuberculosis include local [[tenderness]] on the [[spine]], stiffness and [[spasm]] of the muscles, cold abscess demonstrates absence of signs of [[inflammation]], limited [[range of motion]], palpable gibbus, spine deformity, [[kyphosis]]. Neurologic findings include muscle weakness, [[quadriplegia]], [[paraplegia]], [[hypotonia]], loss of deep tendon reflexes, [[numbness]] and [[paresthesias]]. | |||
==Physical Examination== | ==Physical Examination== | ||
The following physical examination findings can be elicited in a patient with spinal tuberculosis:<ref name="pmid27172367">{{cite journal| author=Shi T, Zhang Z, Dai F, Zhou Q, He Q, Luo F et al.| title=Retrospective Study of 967 Patients With Spinal Tuberculosis. | journal=Orthopedics | year= 2016 | volume= 39 | issue= 5 | pages= e838-43 | pmid=27172367 | doi=10.3928/01477447-20160509-03 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27172367 }} </ref><ref name="pmid26679892">{{cite journal| author=Xing S, Gao Y, Gao K, Zhang G, Yu Z| title=Anterior Cervical Retropharyngeal Debridement Combined With Occipital Cervical Fusion to Upper Cervical Tuberculosis. | journal=Spine (Phila Pa 1976) | year= 2016 | volume= 41 | issue= 2 | pages= 104-10 | pmid=26679892 | doi=10.1097/BRS.0000000000001169 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26679892 }} </ref><ref name="pmid25459741">{{cite journal| author=Formica M, Cavagnaro L, Formica C| title=Pott disease. | journal=Spine J | year= 2015 | volume= 15 | issue= 3 | pages= 556-7 | pmid=25459741 | doi=10.1016/j.spinee.2014.11.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25459741 }} </ref> | |||
=====Appearance of the Patient===== | =====Appearance of the Patient===== | ||
* [[Cachexia]] | * [[Cachexia]] | ||
| Line 18: | Line 18: | ||
* [[Rales]] | * [[Rales]] | ||
* [[Rhonchi]] | * [[Rhonchi]] | ||
* Bronchial breath sounds | *[[Bronchial breath sounds]] | ||
====Spine==== | ====Spine==== | ||
*Local [[tenderness]] | *Local [[tenderness]] | ||
*[[Stiffness]] and [[spasm]] of the [[muscles]] | *[[Stiffness]] and [[spasm]] of the [[muscles]] | ||
* | *Cold abscess demonstrates absence of [[signs]] of [[inflammation]] | ||
*Limited [[range of motion]] | *Limited [[range of motion]] | ||
*Palpable | *Palpable gibbus<ref name="pmid26095218">{{cite journal| author=Ghandi M, Aycock RD, Berwald N, Hahn B| title=Gibbus Deformity. | journal=J Emerg Med | year= 2015 | volume= 49 | issue= 3 | pages= 340-1 | pmid=26095218 | doi=10.1016/j.jemermed.2015.04.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26095218 }} </ref> | ||
* | *Spine deformity<ref name="pmid26435793">{{cite journal| author=Singh R, Magu NK| title=Evaluation of the Behavior of Spinal Deformities in Tuberculosis of the Spine in Adults. | journal=Asian Spine J | year= 2015 | volume= 9 | issue= 5 | pages= 741-7 | pmid=26435793 | doi=10.4184/asj.2015.9.5.741 | pmc=4591446 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26435793 }} </ref> | ||
*[[kyphosis|Kyphosis]] | *[[kyphosis|Kyphosis]]<ref name="pmid25413798">{{cite journal| author=Zhang Y, Yu YS, Tang ZH, Zang GQ| title=Pott's kyphosis. | journal=QJM | year= 2015 | volume= 108 | issue= 6 | pages= 507 | pmid=25413798 | doi=10.1093/qjmed/hcu229 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25413798 }} </ref> | ||
===Neurologic=== | ===Neurologic=== | ||
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[[Category:Vertebral column disorders]] | [[Category:Vertebral column disorders]] | ||
[[Category:Tuberculosis]] | [[Category:Tuberculosis]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 18:47, 18 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hardik Patel, M.D.; Aravind Kuchkuntla, M.B.B.S[2]
Overview
Physical examination findings in spinal tuberculosis include local tenderness on the spine, stiffness and spasm of the muscles, cold abscess demonstrates absence of signs of inflammation, limited range of motion, palpable gibbus, spine deformity, kyphosis. Neurologic findings include muscle weakness, quadriplegia, paraplegia, hypotonia, loss of deep tendon reflexes, numbness and paresthesias.
Physical Examination
The following physical examination findings can be elicited in a patient with spinal tuberculosis:[1][2][3]
Appearance of the Patient
Vitals
Lungs
Spine
- Local tenderness
- Stiffness and spasm of the muscles
- Cold abscess demonstrates absence of signs of inflammation
- Limited range of motion
- Palpable gibbus[4]
- Spine deformity[5]
- Kyphosis[6]
Neurologic
Findings suggestive of spinal cord compression include:
- Muscle weakness
- Quadriplegia
- Paraplegia
- Hypotonia
- Loss of deep tendon reflexes
- Numbness
- Paraesthesia
References
- ↑ Shi T, Zhang Z, Dai F, Zhou Q, He Q, Luo F; et al. (2016). "Retrospective Study of 967 Patients With Spinal Tuberculosis". Orthopedics. 39 (5): e838–43. doi:10.3928/01477447-20160509-03. PMID 27172367.
- ↑ Xing S, Gao Y, Gao K, Zhang G, Yu Z (2016). "Anterior Cervical Retropharyngeal Debridement Combined With Occipital Cervical Fusion to Upper Cervical Tuberculosis". Spine (Phila Pa 1976). 41 (2): 104–10. doi:10.1097/BRS.0000000000001169. PMID 26679892.
- ↑ Formica M, Cavagnaro L, Formica C (2015). "Pott disease". Spine J. 15 (3): 556–7. doi:10.1016/j.spinee.2014.11.006. PMID 25459741.
- ↑ Ghandi M, Aycock RD, Berwald N, Hahn B (2015). "Gibbus Deformity". J Emerg Med. 49 (3): 340–1. doi:10.1016/j.jemermed.2015.04.004. PMID 26095218.
- ↑ Singh R, Magu NK (2015). "Evaluation of the Behavior of Spinal Deformities in Tuberculosis of the Spine in Adults". Asian Spine J. 9 (5): 741–7. doi:10.4184/asj.2015.9.5.741. PMC 4591446. PMID 26435793.
- ↑ Zhang Y, Yu YS, Tang ZH, Zang GQ (2015). "Pott's kyphosis". QJM. 108 (6): 507. doi:10.1093/qjmed/hcu229. PMID 25413798.