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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...
Poliomyelitis01:17

Poliomyelitis

Poliomyelitis is caused by poliovirus, a small, non-enveloped, positive-sense RNA virus of the Picornaviridae family and Enterovirus genus. Transmission occurs primarily via the fecal-oral route, often through ingestion of contaminated water or food. The virus initially replicates in the oropharynx and intestinal mucosa, particularly in lymphoid tissues such as the tonsils, Peyer’s patches, and regional lymph nodes. Primary viremia follows, allowing dissemination throughout the body.In most...

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Related Experiment Videos

Pelvic osteomyelitis in children.

Jai Kumar1, Manoj Ramachandran, David Little

  • 1Royal Newcastle Centre, Sydney, Australia.

Journal of Pediatric Orthopedics. Part B
|October 28, 2009
PubMed
Summary
This summary is machine-generated.

Pelvic osteomyelitis, a rare pediatric condition, often presents with limping and fever, delaying diagnosis. Early suspicion and MRI are crucial for accurate diagnosis and management of this bone infection.

Related Experiment Videos

Area of Science:

  • Pediatric Orthopedics
  • Infectious Diseases

Background:

  • Pelvic osteomyelitis is a rare pediatric condition often misdiagnosed due to non-specific symptoms.
  • Delayed diagnosis and management can lead to increased patient morbidity.

Purpose of the Study:

  • To review cases of pelvic osteomyelitis to improve diagnostic accuracy.
  • To identify key clinical, pathological, and radiological variables for diagnosis.

Main Methods:

  • Retrospective review of 23 pediatric pelvic osteomyelitis cases (1998-2006).
  • Analysis of clinical presentation, laboratory findings (ESR, CRP), and imaging (bone scan, MRI).
  • Evaluation of treatment outcomes, including surgical intervention.

Main Results:

  • Common symptoms included limping, non-weight bearing, fever (avg 38.4°C), elevated ESR (61.2), and CRP (59.1).
  • Magnetic Resonance Imaging (MRI) proved valuable for diagnosis and management in recent cases.
  • Seven patients required surgical debridement and washout.

Conclusions:

  • A high index of suspicion for pelvic osteomyelitis is warranted in children with limping, fever, and elevated inflammatory markers.
  • Prompt diagnosis, aided by MRI, is essential for effective management and reducing morbidity.
  • While often managed non-operatively, surgical intervention may be necessary for debridement.