Pott's disease physical examination: Difference between revisions

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Revision as of 15:48, 28 March 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hardik Patel, M.D.

Overview

Physical examination

Physical Examination

Patients with spinal tuberculosis with active pulmonary infection can have the following physical examination findings:^[1]^[2]^[3]

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^[4]
Spine deformity^[5]
Kyphosis^[6]

Neurologic

Findings suggestive of spinal cord compression include:

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.

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[pmid27172367-1] 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.

[pmid26679892-2] 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.

[pmid25459741-3] 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.

[pmid26095218-4] 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.

[pmid26435793-5] 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.

[pmid25413798-6] Zhang Y, Yu YS, Tang ZH, Zang GQ (2015). "Pott's kyphosis". QJM. 108 (6): 507. doi:10.1093/qjmed/hcu229. PMID 25413798.

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+==Overview==
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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><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>