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SPINE INFECTION NOOR HAFIZAH BINTI HASSAN 2007287236
CONTENTS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
EPIDEMIOLOGY
AETIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],↑  vascularity
PATHOPHYSIOLOGY ,[object Object]
HEMATOGENOUS SPREAD ,[object Object]
2) Blood supply of the vertebrae: Batson’s plexus
CLINICAL PRESENTATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INVESTIGATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Narrowing of intervertebral space Destruction of vertebral body
[object Object],Axial view of cervical vertebra: Destruction of vertebral body
[object Object],Collapse of vertebral body Retropulsed bony fragment compressing the spinal cord
TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DISCITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object]
EPIDEMIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATHOPHYSIOLOGY Abscess
Preservation of intervertebral disc Collapse of vertebral body Rarefaction the anterior aspect of vertebral body
CLINICAL PRESENTATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POTT’S PARAPLEGIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INVESTIGATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
T9 Narrowing of intervertebral disc Soft tissue shadow
Soft tissue mass Destruction of vertebral body
TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FIRST LINE TB DRUGS
 
 
THANK YOU ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Extra notes: red flag of back pain
Continue..

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Spine infection

Hinweis der Redaktion

  1. Batson’s plexus: valveless venous system Venous drainage of the spine: internal plexus  external plexus  IVC  rt atrium Batson’s plexus communicate with venous drainage from the pelvic, abdominal n thoracic Y communicate? If any obstruction to IVC in abdominal level, venous blood from lower xtrmities can still travel back to the heart. That’s y gut bacteria can be one of the etiology
  2. Improvement: falling ESR, WCC return to normal. Important to assess pt CLINICALLY !!!
  3. Note the spread of the infection anteriorly to, rather than thru the vertebral body.
  4. Liver enzymes inducer: P C B R A S (pyrazinamide, carbamazepine, barbiturate, rifampicin, alcohol, sulphonylurea) Liver enzymes inhibitor: SICK FACES.COM (sodium valproate, isoniazid, cimetidine, ketoconazole, fluconazole, alcohol, CMC, erythromycin, sulfonamides, ciprofloxacin, omeprazole, metronidazole)