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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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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...
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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

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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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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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Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
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Related Experiment Video

Updated: Aug 6, 2025

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
06:23

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Published on: May 23, 2021

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Acute Bacterial Sinusitis With Epidural and Subdural Involvement.

Chelsea-Jane E Arcalas1, Daniel A Reich1, Samari A Blair1

  • 1College of Medicine, University of Florida, Gainesville, USA.

Cureus
|March 16, 2023
PubMed
Summary
This summary is machine-generated.

Pediatric sinusitis can rarely lead to severe brain infections like superior sagittal sinus thrombosis, subdural, and epidural empyemas, requiring prompt medical attention to prevent serious outcomes.

Keywords:
intracerebral abscessintracranial epidural abscesspediatric headacherhinosinusitissubdural empyema

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Area of Science:

  • Pediatric infectious diseases
  • Neurology
  • Otolaryngology

Background:

  • Sinusitis is a frequent childhood infection.
  • Intracranial complications of sinusitis are rare but serious.
  • Prompt diagnosis and management are crucial for preventing severe morbidity and mortality.

Observation:

  • A case study of a 13-year-old male is presented.
  • The patient presented with symptoms suggestive of sinusitis.
  • The sinusitis was complicated by intracranial infections.

Findings:

  • The patient developed a superior sagittal sinus thrombosis.
  • Subdural and epidural empyemas were also diagnosed.
  • This highlights a rare but severe spectrum of sinusitis complications.

Implications:

  • This case underscores the importance of considering intracranial complications in pediatric sinusitis.
  • Early recognition and aggressive treatment are vital for favorable outcomes.
  • Highlights the need for multidisciplinary care involving neurology, infectious diseases, and ENT specialists.