Pott's disease physical examination
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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][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:
- 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.