一个不寻常的急性关节疼痛病例
Thomas Damrow1, Ryan Bellinger1, Judy Lin1,2
1Department of Emergency Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, USA.
Cureus
|October 16, 2023
概括
脊柱体内血瘤可以引起急性丸疼痛,这是一个罕见的原因,在急诊室经常被忽视. 这一案例凸显了需要彻底评估源不明的严重疼痛的必要性.
科学领域:
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 紧急医疗 紧急医疗
背景情况:
- 丸疼痛是一种常见的急诊室投诉.
- 标准炼经常错过脊髓病理作为原因.
- 脊柱体内血腫是一種罕見的疾病.
研究的目的:
- 报告一个罕见的丸疼痛病例,由脊柱腹腔内血瘤引起.
- 强调在持续性疼痛中考虑不常见诊断的重要性.
主要方法:
- 一个45岁的男性患有末期脏病和高血压的病例报告.
- 对急性丸疼痛进行全面的诊断工作.
- 通过症状进展和成像来确认诊断.
主要成果:
- 对于丸疼痛的初步检查结果是不确定的.
- 患者出现症状,导致诊断为自发的脊柱腹腔内血瘤.
- 同时发生的无症状COVID-19感染.
结论:
- 在无法解释的丸疼痛时,应考虑脊柱皮血腫.
- 对于复杂的演示文稿,保持警和持续工作至关重要.
- 这一案例强调了罕见神经疾病的非典型表现.
相关概念视频
Disorders of the Male Reproductive System
434
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
434
Appendicitis-I: Introduction
194
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...
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...
194
Testes: Gross Anatomy
2.2K
The testes, also known as testicles, are the male gonads. They are housed within the scrotum, a sac-like structure located beneath the penis. The scrotum's primary role is to regulate the temperature of the testes, which is crucial for sperm production.
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
2.2K
Acute Pyelonephritis I: Introduction
20
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...
20
Acute Pyelonephritis II: Diagnostic Studies and Management
15
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...
15
Abdominal Regions and Quadrants
8.5K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
8.5K


