Epidural abscess physical examination
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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.