Pott's disease physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Patients with spinal tuberculosis with active pulmonary infection can have the following physical examination findings:<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> | Patients with spinal tuberculosis with active pulmonary infection can have the following physical examination findings:<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> | ||
=====Appearance of the Patient===== | =====Appearance of the Patient===== | ||
* [[Cachexia]] | * [[Cachexia]] | ||
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* [[Tachycardia]] | * [[Tachycardia]] | ||
* [[Fever]] | * [[Fever]] | ||
====Lungs==== | ====Lungs==== | ||
* [[Decreased breath sounds]] | * [[Decreased breath sounds]] | ||
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*[[Spine deformity]] | *[[Spine deformity]] | ||
*[[Kyphosis]] | *[[Kyphosis]] | ||
===Neurologic=== | ===Neurologic=== | ||
Findings suggestive of [[spinal cord compression]] include: | Findings suggestive of [[spinal cord compression]] include: | ||
Revision as of 16:20, 27 March 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.
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Physical Examination
Patients with spinal tuberculosis with active pulmonary infection can have the following physical examination findings:[1][2]
Appearance of the Patient
Vitals
Lungs
- Decreased breath sounds
- Rales
- Rhonchi
- Bronchial breath sounds
Spine
- Local tenderness
- 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 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.