Psoas abscess: Difference between revisions
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==DDX== | ==DDX== | ||
[[Abdominal Pain#RLQ]] | [[Abdominal Pain#RLQ]] | ||
[[Abdominal Pain#LLQ]] | |||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 07:29, 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
Abdominal Pain#RLQ Abdominal Pain#LLQ
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