Epidural abscess physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Epidural abscess}} | {{Epidural abscess}} | ||
{{CMG}} | {{CMG}} {{AE}} {{JS}}; {{AG}} | ||
==Overview== | ==Overview== | ||
Physical examination of patients with epidural abscess is usually remarkable for [[fever]], [[back pain]], and generally well appearance, often contributing to misdiagnosis. | |||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with epidural abscess is usually remarkable for the following:<ref name="Darouiche2006">{{cite journal|last1=Darouiche|first1=Rabih O.|title=Spinal Epidural Abscess|journal=New England Journal of Medicine|volume=355|issue=19|year=2006|pages=2012–2020|issn=0028-4793|doi=10.1056/NEJMra055111}}</ref><ref name="pmid15043336">{{cite journal| author=Fountas KN, Duwayri Y, Kapsalaki E, Dimopoulos VG, Johnston KW, Peppard SB et al.| title=Epidural intracranial abscess as a complication of frontal sinusitis: case report and review of the literature. | journal=South Med J | year= 2004 | volume= 97 | issue= 3 | pages= 279-82; quiz 283 | pmid=15043336 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15043336 }} </ref><ref name=Mandell>{{Cite book | last1 = Mandell | first1 = Gerald L. | last2 = Bennett | first2 = John E. (John Eugene) | last3 = Dolin | first3 = Raphael. | title = Mandell, Douglas, and Bennett's principles and practice of infectious disease | date = 2010 | publisher = Churchill Livingstone/Elsevier | location = Philadelphia, PA | isbn = 0-443-06839-9 | pages = }}</ref><ref name=Schlossberg>{{cite book | last = Schlossberg | first = David | title = Clinical infectious disease | publisher = Cambridge University Press | location = Cambridge New York | year = 2008 | isbn = 9780521871129 }}</ref> | |||
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===General appearance=== | |||
Patient generally appears complaining of [[malaise]] and [[fever]]. | |||
===Vital signs=== | |||
*[[Fever]] | *[[Fever]] | ||
*[[Normotension]] | |||
*[[ | |||
===HEENT=== | |||
*[[Cranial nerve]] [[signs]] | *[[Cranial nerve]] [[signs]] | ||
*[[Periorbital cellulitis]] | *[[Periorbital cellulitis]] | ||
*[[Frontal bone|Frontal swelling]] | *[[Frontal bone|Frontal swelling]] | ||
*[[Sinusitis]] | |||
*[[Otitis]] | |||
===Back=== | |||
*[[Back pain]] | |||
===Extremities=== | |||
*Focal [[pain]] radiating from back | |||
=== | ===Neuromuscular=== | ||
*[[ | *Altered [[mental status]] | ||
*[[Seizures]] | |||
*[[Hemiparesis]] | |||
*[[Weakness]] | *[[Weakness]] | ||
*Altered [[reflexes]] | *Altered [[reflexes]] | ||
*[[Paresthesia]] | *[[Paresthesia]] | ||
*[[Paralysis]] | *[[Paralysis]] | ||
*[[Spinal cord]] | *[[Spinal cord]] dysfunction, with [[sphincter]] incompetence and sensory and motor deficits | ||
*[[Meningism]] | *[[Meningism]] | ||
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{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
Latest revision as of 21:36, 29 July 2020
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Epidural abscess Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Epidural abscess physical examination On the Web |
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American Roentgen Ray Society Images of Epidural abscess physical examination |
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Risk calculators and risk factors for Epidural abscess physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]; Anthony Gallo, B.S. [3]
Overview
Physical examination of patients with epidural abscess is usually remarkable for fever, back pain, and generally well appearance, often contributing to misdiagnosis.
Physical Examination
Physical examination of patients with epidural abscess is usually remarkable for the following:[1][2][3][4]
General appearance
Patient generally appears complaining of malaise and fever.
Vital signs
HEENT
Back
Extremities
- Focal pain radiating from back
Neuromuscular
- Altered mental status
- Seizures
- Hemiparesis
- Weakness
- Altered reflexes
- Paresthesia
- Paralysis
- Spinal cord dysfunction, with sphincter incompetence and sensory and motor deficits
- Meningism
References
- ↑ Darouiche, Rabih O. (2006). "Spinal Epidural Abscess". New England Journal of Medicine. 355 (19): 2012–2020. doi:10.1056/NEJMra055111. ISSN 0028-4793.
- ↑ Fountas KN, Duwayri Y, Kapsalaki E, Dimopoulos VG, Johnston KW, Peppard SB; et al. (2004). "Epidural intracranial abscess as a complication of frontal sinusitis: case report and review of the literature". South Med J. 97 (3): 279–82, quiz 283. PMID 15043336.
- ↑ Mandell, Gerald L.; Bennett, John E. (John Eugene); Dolin, Raphael. (2010). Mandell, Douglas, and Bennett's principles and practice of infectious disease. Philadelphia, PA: Churchill Livingstone/Elsevier. ISBN 0-443-06839-9.
- ↑ Schlossberg, David (2008). Clinical infectious disease. Cambridge New York: Cambridge University Press. ISBN 9780521871129.