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Degenerative Disc Disease I: Introduction01:27

Degenerative Disc Disease I: Introduction

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Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
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Degenerative Disc Disease ll: Pathophysiology01:23

Degenerative Disc Disease ll: Pathophysiology

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The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
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Tonsillitis I: Introduction01:30

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Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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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...
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Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

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Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
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[Renal extramedullary hematopoiesis. Case report].

Revista chilena de pediatria·2015
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Related Experiment Video

Updated: Apr 26, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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[Spondylodiscitis in children: a case report].

Juan Pablo Rojas H, María Del Pilar Gómez M

    Revista Chilena De Pediatria
    |August 1, 2014
    PubMed
    Summary

    Spondylodiscitis, a spinal infection, can cause walking difficulties in children. Early diagnosis and treatment, including antibiotics and physical therapy, lead to complete recovery.

    Area of Science:

    • Pediatric infectious diseases
    • Pediatric orthopedics
    • Diagnostic imaging in children

    Background:

    • Spondylodiscitis, an infection of the intervertebral disc and vertebral body, presents with non-specific symptoms requiring a high index of suspicion.
    • Antibiotic therapy is the primary treatment for most spondylodiscitis cases, aiming for resolution through pharmacological management.

    Observation:

    • A 2-year-old child presented with a 3-month history of refusal to walk and pain, despite the absence of fever.
    • Physical examination revealed lumbar tenderness, muscle contracture, and decreased lordosis, with no neurological deficits.
    • Lumbosacral spine X-ray and pelvic MRI confirmed L5-S1 disc abnormalities and bone erosions consistent with spondylodiscitis.

    Findings:

    • Prompt diagnosis was achieved through imaging studies, identifying spondylodiscitis at the L5-S1 level.

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  • The patient received a comprehensive treatment plan including antibiotics, physical rehabilitation, and analgesia.
  • Complete resolution of symptoms and condition was observed following the intervention.
  • Implications:

    • Spondylodiscitis should be considered in pediatric cases presenting with acute changes in ambulation.
    • Timely diagnosis and multidisciplinary treatment are crucial for improving patient prognosis in pediatric spondylodiscitis.
    • This case highlights the effectiveness of combined antibiotic therapy, rehabilitation, and analgesia in managing pediatric spinal infections.