Abstract
M79, RH, only PMH of HTN and high cholesterol, active and independent, lives with wife, presents with 2w hx worsening back pain, malaise, loss of appetite and weight, night sweats and low grade pyrexia, o/e mid thoracic myelopathy expressed with spastic weakness of LL MRC grading 4/5 and T6 sensory level
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Abbreviations
- Abx:
-
Antibiotics
- CRP:
-
C reactive protein
- CT CAP:
-
Computed tomography chest abdomen and pelvis
- ECHO:
-
Echocardiogram
- Gram +:
-
Gram positive bacteria
- Hx:
-
History
- IV:
-
Intra venous
- LL:
-
Lower limb
- MSCC:
-
Metastatic spinal cord compression
- MRC grading:
-
Medical research council muscle grading
- MRI:
-
Magnetic resonance imaging
- OPG:
-
Orthopantomogram
- PICC line:
-
Peripherally inserted central catheter
- PT:
-
Physiotherapy
- QDS:
-
Four times daily
- T3–6:
-
Third to sixth thoracic vertebrae
- TB:
-
Tuberculosis
- w:
-
Weeks
- WBC:
-
White blood cell count
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Tolias, C.M., Giamouriadis, A., Hogg, F.R.A., Ghimire, P. (2019). Thoracic Epidural Abscess. In: Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-98234-2_42
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DOI: https://doi.org/10.1007/978-3-319-98234-2_42
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