Psoas abscess: Difference between revisions
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*S. aureus is most common pathogen (80%) | *S. aureus is most common pathogen (80%) | ||
==Clinical Features== | ==DDX== | ||
[[Abdominal Pain#RLQ]] | |||
==Diagnosis== | |||
===Clinical Features=== | |||
*Abdominal pain radiating to hip, flank | *Abdominal pain radiating to hip, flank | ||
*Pain with thigh flexion (esp against resistance) | *Pain with thigh flexion (esp against resistance) | ||
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*Nausea | *Nausea | ||
== | ==Treatment== | ||
*CT is imaging study of choice | *CT is imaging study of choice | ||
*Abx, surgical consultation | *Abx, surgical consultation | ||
Revision as of 07:28, 25 February 2012
Background
- Psoas muscle is susceptible to infection from distant sites due to rich blood supply, proximity to overlying retroperitoneal lymphatic channels
- S. aureus is most common pathogen (80%)
DDX
Diagnosis
Clinical Features
- Abdominal pain radiating to hip, flank
- Pain with thigh flexion (esp against resistance)
- Limp
- Fever
- Nausea
Treatment
- CT is imaging study of choice
- Abx, surgical consultation
Source
- Tintinalli