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Diagnosis of neurogenic claudication is based on typical clinical features, the physical exam, and findings of spinal stenosis on computer tomography (CT) or X-ray imaging. [1] In addition to vascular claudication, diseases affecting the spine and musculoskeletal system should be considered in the differential diagnosis. [9]
Based on a systemic review by Sinha et al, digital subtraction angiography (DSA) is the most common imaging used for PAES diagnosis, followed by ankle–brachial index (18 percent), computed tomography angiography (CTA) (12 percent), magnetic resonance angiography (MRA) (12 percent), duplex ultrasonography (DU) (10 percent), exercise ankle ...
The definitive diagnosis is isolation of the causative organism from the synovial fluid (joint fluid), but signs of inflammation in the joint fluid and imaging may also aid in the diagnosis. The treatment is a combination of systemic antibiotics , debridement of infectious and necrotic tissue and local antibiotics applied to the joint space.
The word claudication comes from Latin claudicare 'to limp'. Claudication that appears after a short amount of walking may sometimes be described by US medical professionals by the number of typical city street blocks that the patient can walk before the onset of claudication. Thus, "one-block claudication" appears after walking one block, "two ...
A biopsy can rule out other possible diagnoses, such as bone tumors. Surgery is the main treatment, often combined with antibiotics. The prognosis is generally favorable, with minimal risk of lasting disability or recurrence. Brodie abscess is responsible for 2.5%-42% of primary bone infections.
Infection, abscess – blood borne, post-traumatic or post-surgical. Ineffective action (insufficient leverage) of the lateral glutei Greater trochanteric avulsion. Fracture, (or non-union) of the femoral neck. Coxa Vara (the angle between the femoral neck head and shaft is less than 120 degrees).
The popliteal fossa is to be examined bilaterally (on both sides) with the knee in a semi-flexed position. In some 60% of cases, the popliteal aneurysm presents as a palpable pulsatile mass at the level of the knee joint. Doppler ultrasonography is the preferred diagnostic method. CT angiography and MR angiography may also be employed. [2]
For those with artificial joint implants, there is a chance of 0.86 to 1.1% of getting infected in a knee joint and 0.3 to 1.7% of getting infected in a hip joint. There are three phases of artificial joint infection: early, delayed and late. [2] Early – infection occurs in less than 3 months. Usual signs and symptoms are fever and joint pain ...
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