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Related Concept Videos

Appendicitis01:19

Appendicitis

17
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
17
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

4.1K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
4.1K
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

3
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial...
3
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

903
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
903
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

1.0K
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
1.0K
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

763
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...
763

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Posterior Approach for Debridement of the Psoas Abscess
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Epidural abscess secondary to acute appendicitis.

Marguerite Carter1, Babek Meshkat2, Sherif El-Masry2

  • 1Department of Surgery, UHL, Limerick, Ireland.

BMJ Case Reports
|December 21, 2014
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Summary

A rare case of epidural abscess caused by appendicitis in a diabetic patient is presented. Prompt surgical intervention and antibiotics led to a full recovery, highlighting appendicitis as an unusual source of spinal infection.

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Area of Science:

  • Spinal Surgery
  • Infectious Diseases
  • Gastroenterology

Background:

  • A 62-year-old male with a history of diabetes and rectal cancer presented with back pain and sepsis.
  • Previous treatments included abdominoperineal resection, chemotherapy, and radiotherapy.

Observation:

  • Physical examination revealed midline lumbar tenderness and reduced hip flexion.
  • CT scan showed a presacral collection linked to the appendix tip.
  • MRI confirmed epidural abscess invasion into the lumbar spine up to T9.

Findings:

  • The patient underwent laparotomy, presacral abscess washout, and appendectomy.
  • Prolonged intravenous antibiotic therapy was administered.
  • Full clinical recovery was achieved at 3 months with radiological resolution of the epidural abscess.

Implications:

  • This case highlights appendicitis as a rare but significant cause of epidural abscess.
  • It underscores the importance of considering intra-abdominal sources for spinal infections.
  • The report discusses other potential intra-abdominal origins of epidural abscesses.