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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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Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

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Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
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Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

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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...
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Tonsillitis II: Management01:26

Tonsillitis II: Management

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This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
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Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

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The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
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Somatic Spinal Reflexes01:22

Somatic Spinal Reflexes

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Somatic spinal reflexes are rapid, involuntary muscular responses to external stimuli that involve the somatic musculature and the spinal cord.
One of the most well-known somatic spinal reflexes is the stretch reflex, which is activated by the sudden stretching of a muscle. This reflex involves the activation of specialized sensory receptors called muscle spindles, which are located in the muscle tissue and detect changes in the length and speed of muscle contractions. When a muscle is suddenly...
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Related Experiment Video

Updated: Dec 17, 2025

Polytetrafluoroethylene PTFE as a Suture Material in Tendon Surgery
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Pyogenic Flexor Tenosynovitis: Evaluation and Management.

Kanu Goyal1, Amy L Speeckaert1

  • 1Department of Orthopaedic Surgery, Hand & Upper Extremity Center, The Ohio State Wexner Medical Center, 915 Olentangy River Road, Suite 3200, Columbus, OH 43212, USA.

Hand Clinics
|June 27, 2020
PubMed
Summary

Pyogenic flexor tenosynovitis, a serious hand infection, can cause significant functional loss if not treated promptly. Early surgical drainage and antibiotics are crucial for preserving hand function and preventing complications.

Keywords:
Finger infectionFlexor tenosynovitisPyogenicSuppurative

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Area of Science:

  • Hand surgery
  • Infectious diseases
  • Orthopedics

Background:

  • Pyogenic flexor tenosynovitis is a critical infection within the flexor tendon sheath of the hand.
  • This infection can rapidly spread, leading to severe functional impairment of the finger and hand.
  • Patients may not exhibit systemic illness or recall a specific injury, complicating early recognition.

Purpose of the Study:

  • To emphasize the importance of early diagnosis and prompt intervention in managing pyogenic flexor tenosynovitis.
  • To highlight the key principles of treatment for this condition.

Main Methods:

  • Review of established treatment protocols for pyogenic flexor tenosynovitis.
  • Focus on the core components of successful management.

Main Results:

  • Effective treatment requires timely evacuation of the infected space.
  • Postoperative antibiotic therapy must be individualized and closely monitored.
  • Prompt management is essential to prevent long-term morbidity and loss of hand function.

Conclusions:

  • Pyogenic flexor tenosynovitis necessitates urgent medical and surgical attention.
  • The cornerstones of treatment are infection source control and appropriate antibiotic management.
  • Successful outcomes depend on early detection and adherence to treatment principles to preserve hand function.