Subdural empyema physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Subdural empyema}} | {{Subdural empyema}} | ||
{{CMG}} | {{CMG}} {{AE}} {{JS}}; {{AG}} | ||
==Overview== | ==Overview== | ||
Physical examination of patients with subdural empyema is usually remarkable for [[fever]], [[facial pain]], and [[neck stiffness]].<ref name="Hendaus2013">{{cite journal|last1=Hendaus|first1=Mohammed A.|title=Subdural Empyema in Children|journal=Global Journal of Health Science|volume=5|issue=6|year=2013|issn=1916-9744|doi=10.5539/gjhs.v5n6p54}}</ref><ref name="pmid23358438">{{cite journal| author=Bruner DI, Littlejohn L, Pritchard A| title=Subdural empyema presenting with seizure, confusion, and focal weakness. | journal=West J Emerg Med | year= 2012 | volume= 13 | issue= 6 | pages= 509-11 | pmid=23358438 | doi=10.5811/westjem.2012.5.11727 | pmc=PMC3555596 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23358438 }} </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> | |||
==Physical Examination== | |||
===Appearance of the Patient=== | |||
Patients with acute subdural empyema appear in poor condition, often appearing [[lethargic]] and [[vomiting]]. | |||
===Vital signs=== | |||
*[[Fever]] | |||
===HEENT=== | |||
*[[Facial pain]] / [[swelling]] | |||
*[[Meningismus]] | |||
*[[Sinusitis]] | |||
*[[Mastoiditis]] | |||
*[[Otitis]] | |||
*[[Papilledema]] | |||
**[[Homonymous hemianopsia]] | |||
*Fixed [[mydriasis]] on the ipsilateral side (from compression of 3rd [[cranial nerve]]) | |||
== | ===Neck=== | ||
*[[Neck stiffness]] | |||
===Neuromuscular=== | |||
*[[Coma]] | |||
*[[Stupor]] | |||
*[[Confusion]] | |||
*[[Drowsiness]] | |||
*[[Hemiparesis]] or hemisensory deficits | |||
*[[Aphasia]] | |||
*[[Seizures]] | |||
*[[Gait disturbances]] | |||
*[[cranial nerve disease|Palsies]] of 3rd, 5th and 6th [[cranial nerves]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 18:53, 18 September 2017
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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 subdural empyema is usually remarkable for fever, facial pain, and neck stiffness.[1][2][3]
Physical Examination
Appearance of the Patient
Patients with acute subdural empyema appear in poor condition, often appearing lethargic and vomiting.
Vital signs
HEENT
- Facial pain / swelling
- Meningismus
- Sinusitis
- Mastoiditis
- Otitis
- Papilledema
- Fixed mydriasis on the ipsilateral side (from compression of 3rd cranial nerve)
Neck
Neuromuscular
- Coma
- Stupor
- Confusion
- Drowsiness
- Hemiparesis or hemisensory deficits
- Aphasia
- Seizures
- Gait disturbances
- Palsies of 3rd, 5th and 6th cranial nerves
References
- ↑ Hendaus, Mohammed A. (2013). "Subdural Empyema in Children". Global Journal of Health Science. 5 (6). doi:10.5539/gjhs.v5n6p54. ISSN 1916-9744.
- ↑ Bruner DI, Littlejohn L, Pritchard A (2012). "Subdural empyema presenting with seizure, confusion, and focal weakness". West J Emerg Med. 13 (6): 509–11. doi:10.5811/westjem.2012.5.11727. PMC 3555596. PMID 23358438.
- ↑ 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.