Epidural abscess physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with epidural abscess is usually remarkable for | |||
==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> | |||
=== | |||
===General appearance=== | |||
Patient generally appear well, only complaining [[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]] dysfunction, with [[sphincter]] incompetence and sensory and motor deficits | *[[Spinal cord]] dysfunction, with [[sphincter]] incompetence and sensory and motor deficits | ||
Revision as of 20:18, 13 November 2015
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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 epidural abscess is usually remarkable for
Physical Examination
Physical examination of patients with epidural abscess is usually remarkable for the following:[1][2][3][4]
General appearance
Patient generally appear well, only complaining 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.