Senario 1 by Dr Phone Myint Htoo

Senario 1 by Dr Phone Myint Htoo https://padlet.com/phonemyint3060/Senario1 30 years old man presented with angular deformity in dorso-lumbar spine of 2 months durarion. en-us 2017-08-19 06:03:44 UTC 2017-09-17 09:09:54 UTC hello@padlet.com https://padletuploads.blob.core.windows.net/prod/213137986/8158c2aafa386d213bdf50bdd201310f/Picture2.png https://padlet.com/phonemyint3060/Senario1/wish/181755518 Neurological system including examination of the spine. ]]> 2017-08-20 12:41:20 UTC https://padlet.com/phonemyint3060/Senario1/wish/181755518 https://padlet.com/phonemyint3060/Senario1/wish/181755531 X-ray of the lumbar spine with AP and Lateral view]]> 2017-08-20 12:41:54 UTC https://padlet.com/phonemyint3060/Senario1/wish/181755531 https://padlet.com/phonemyint3060/Senario1/wish/181755551 1. Full blood count to look for lymphocytosis.
2. Mantoux test.
3. Sputum AFB C&S.
4. Chest X-ray.
5. Biopsy for HPE and C&S.
6. Spinal CT and MRI. ]]> 2017-08-20 12:42:32 UTC https://padlet.com/phonemyint3060/Senario1/wish/181755551 https://padlet.com/phonemyint3060/Senario1/wish/181755644 Initial treatment will include pain relief, adequate bed rest and bracing and starting the anti-tuberculosis drugs regime.
If initial treatment fails, surgery will be the next suitable option. The choices for surgery includes :
A. Anterolateral decompression.
B. Anterior clearance.
C. Costo-transversectomy.
D. Radical debridement and arthrodesis.
E. Laminectomy. ]]> 2017-08-20 12:44:59 UTC https://padlet.com/phonemyint3060/Senario1/wish/181755644 https://padlet.com/phonemyint3060/Senario1/wish/181755752 When there is abscess formation and marked neurological deficits. ]]> 2017-08-20 12:48:22 UTC https://padlet.com/phonemyint3060/Senario1/wish/181755752 https://padlet.com/phonemyint3060/Senario1/wish/181755785 1. Lumbar spine tuberculosis.
2. Compression fracture of the lumbar spine below T12.
3. Lumbar spine pyogenic osteomyelitis.
4. Eosinophilic granuloma. ]]> 2017-08-20 12:49:25 UTC https://padlet.com/phonemyint3060/Senario1/wish/181755785 https://padlet.com/phonemyint3060/Senario1/wish/181756617 Harresh]]> 2017-08-20 13:16:46 UTC https://padlet.com/phonemyint3060/Senario1/wish/181756617 https://padlet.com/phonemyint3060/Senario1/wish/181756621 Harresh]]> 2017-08-20 13:16:51 UTC https://padlet.com/phonemyint3060/Senario1/wish/181756621 https://padlet.com/phonemyint3060/Senario1/wish/181756626 Harresh]]> 2017-08-20 13:16:59 UTC https://padlet.com/phonemyint3060/Senario1/wish/181756626 https://padlet.com/phonemyint3060/Senario1/wish/181756629 Harresh]]> 2017-08-20 13:17:05 UTC https://padlet.com/phonemyint3060/Senario1/wish/181756629 Harresh https://padlet.com/phonemyint3060/Senario1/wish/181756633 2017-08-20 13:17:11 UTC https://padlet.com/phonemyint3060/Senario1/wish/181756633 https://padlet.com/phonemyint3060/Senario1/wish/181756639 Harresh]]> 2017-08-20 13:17:18 UTC https://padlet.com/phonemyint3060/Senario1/wish/181756639 Spine and neurological examination https://padlet.com/phonemyint3060/Senario1/wish/181758062 Chun Sian]]> 2017-08-20 13:59:18 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758062 Pott's spine T9-T10, pyogenic osteomyelitis T9, T9 spinal fracture, eosinophilic granuloma https://padlet.com/phonemyint3060/Senario1/wish/181758082 Chun Sian]]> 2017-08-20 14:00:02 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758082 https://padlet.com/phonemyint3060/Senario1/wish/181758305 Spine and neurological examination

Haziq]]> 2017-08-20 14:07:11 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758305 https://padlet.com/phonemyint3060/Senario1/wish/181758349 Pyogenic osteomyelitis, potts spine, fracture (trauma)

Haziq]]> 2017-08-20 14:08:49 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758349 https://padlet.com/phonemyint3060/Senario1/wish/181758393 X ray of the spine (thoracolumbar) AP and lateral view

Haziq]]> 2017-08-20 14:10:44 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758393 Full blood count, ESR, CRP, sputum smear, mantoux test, chest x-ray to check pulmonary involvement, xray of the spine https://padlet.com/phonemyint3060/Senario1/wish/181758445 Haziq]]> 2017-08-20 14:12:38 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758445 Conservative - anti tuberculous therapy, analgesic for pain management, rest https://padlet.com/phonemyint3060/Senario1/wish/181758538 Surgical - laminectomy, anterolateral decompression

Haziq]]> 2017-08-20 14:15:29 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758538 X ray of thoracolumbar spine (AP, Lateral view) https://padlet.com/phonemyint3060/Senario1/wish/181758566 Chun Sian]]> 2017-08-20 14:16:41 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758566 Spine and neurological examinations https://padlet.com/phonemyint3060/Senario1/wish/181758577 Elson]]> 2017-08-20 14:16:56 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758577 Pott fracture, pyogenic infections, compression fracture https://padlet.com/phonemyint3060/Senario1/wish/181758588 Elson]]> 2017-08-20 14:17:27 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758588 FBC, ESR, CRP, Mantoux test, Sputum C&S, PCR, chest x ray, CT scan, MRI https://padlet.com/phonemyint3060/Senario1/wish/181758601 2017-08-20 14:18:15 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758601 Spine x-ray (AP and lateral views) https://padlet.com/phonemyint3060/Senario1/wish/181758620 Elson]]> 2017-08-20 14:18:52 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758620 https://padlet.com/phonemyint3060/Senario1/wish/181758630 Abscess formation, marked bone destruction, neurological deficit

Haziq]]> 2017-08-20 14:19:24 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758630 Full blood count, ESR, CRP, mantoux test, sputum culture and sensitivity, ELISA, PCR, biopsy, CT, MRI, myelograp https://padlet.com/phonemyint3060/Senario1/wish/181758649 Elson]]> 2017-08-20 14:19:46 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758649 Conservative: Anti-TB medications, analgesic, rest with brace; Surgical: costo-transversectomy, antero-lateral decompression, HongKong operation, laminectomy https://padlet.com/phonemyint3060/Senario1/wish/181758742 Elson

]]> 2017-08-20 14:22:30 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758742 Conservative: bed rest, analgesic, thoracolumbar bracing, Definitive: antituberculous drugs, Surgical: decompression, drainage of paravertebral abscess (if present), bone graft, instrumentation https://padlet.com/phonemyint3060/Senario1/wish/181758770 Chun Sian]]> 2017-08-20 14:23:33 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758770 When there is abscess that can be drained, marked bone destruction, neurological deficit that has not response to drug therapy https://padlet.com/phonemyint3060/Senario1/wish/181758821 Elson]]> 2017-08-20 14:25:23 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758821 neurological deficit of sudden onset/unresponsive to non-surgical therapy, paravertebral abscess formation, marked spinal deformity https://padlet.com/phonemyint3060/Senario1/wish/181758994 Chun Sian]]> 2017-08-20 14:32:22 UTC https://padlet.com/phonemyint3060/Senario1/wish/181758994 Neurological xuelin220693 https://padlet.com/phonemyint3060/Senario1/wish/181759103 Xuelin]]> 2017-08-20 14:35:36 UTC https://padlet.com/phonemyint3060/Senario1/wish/181759103 Dorsolumbar xray in AP and lateral view xuelin220693 https://padlet.com/phonemyint3060/Senario1/wish/181759175 Xuelin]]> 2017-08-20 14:37:31 UTC https://padlet.com/phonemyint3060/Senario1/wish/181759175 Conservative management failed ( paraplegia sudden worsening) , formation of absess, xuelin220693 https://padlet.com/phonemyint3060/Senario1/wish/181759231 2017-08-20 14:39:29 UTC https://padlet.com/phonemyint3060/Senario1/wish/181759231 Spine and neurological examination https://padlet.com/phonemyint3060/Senario1/wish/181761103 Ann

]]> 2017-08-20 15:29:32 UTC https://padlet.com/phonemyint3060/Senario1/wish/181761103 https://padlet.com/phonemyint3060/Senario1/wish/181761888 Nervous system including spine, respiratory system

Lim Kok Hong]]> 2017-08-20 15:51:11 UTC https://padlet.com/phonemyint3060/Senario1/wish/181761888 https://padlet.com/phonemyint3060/Senario1/wish/181761939 compression fracture, pyogenic spondylitis, Pott spine, eosinophilic granuloma, secondary metastasis

Lim Kok Hong]]> 2017-08-20 15:52:45 UTC https://padlet.com/phonemyint3060/Senario1/wish/181761939 https://padlet.com/phonemyint3060/Senario1/wish/181762007 x-ray of spine including the thoracolumbar and lumbosacral region, in AP view and lateral view

Lim Kok Hong]]> 2017-08-20 15:54:50 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762007 https://padlet.com/phonemyint3060/Senario1/wish/181762059 Full Blood Count, total white cell for lymphocyte, ESR, CRP, mantoux test, sputum culture, chest x-ray, biopsy of the vertebra for culture & sensitivity and histopathological examination

Lim Kok Hong]]> 2017-08-20 15:56:13 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762059 https://padlet.com/phonemyint3060/Senario1/wish/181762183 conservative management
1) anti-tuberculous regime
2) bed rest
3) analgesic for pain management

Surgical treatment
1) decompression surgery with posterior approach as the level affected is T9 - T10, which are the levels of diaphragm,
2) laminectomy
3) costotranversectomy
4) abscess drainage if present of abscess

Lim Kok Hong]]> 2017-08-20 15:59:47 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762183 spine and neurological system https://padlet.com/phonemyint3060/Senario1/wish/181762184 khai]]> 2017-08-20 15:59:52 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762184 pyogenic infection of spine , pott spine , eosinophilic granuloma , secondary metastasis https://padlet.com/phonemyint3060/Senario1/wish/181762193 khai]]> 2017-08-20 16:00:10 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762193 x ray of spine at thoracolumbar region https://padlet.com/phonemyint3060/Senario1/wish/181762232 khai]]> 2017-08-20 16:00:58 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762232 full blood count , chest x ray , esr , crp , biopsy for hpe and culture and sensitivity https://padlet.com/phonemyint3060/Senario1/wish/181762256 khai]]> 2017-08-20 16:01:34 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762256 Conservative: bed rest, analgesic, thoracolumbar bracing, medical : antituberculous drugs, Surgical: decompression, drainage of paravertebral abscess https://padlet.com/phonemyint3060/Senario1/wish/181762316 khai]]> 2017-08-20 16:02:41 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762316 Abscess formation, marked bone destruction, neurological deficit https://padlet.com/phonemyint3060/Senario1/wish/181762351 khai]]> 2017-08-20 16:03:32 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762351 https://padlet.com/phonemyint3060/Senario1/wish/181762475 1) when there is abscess formation

2) severe neurological deficit in which
i) paraplegia developed during the anti-tuberculous medication,
ii) sudden deterioration of paraplegia during anti-tuberculous regime,
iii) progressive worsening or no improvement of neurological deficit after 2 weeks of antituberculous regime

3) severe bone deformity that affect the quality of life

Lim Kok Hong ]]> 2017-08-20 16:06:45 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762475 https://padlet.com/phonemyint3060/Senario1/wish/181762863 Compression fracture
Potts spine
Metastatic tumor

Ann]]> 2017-08-20 16:14:49 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762863 https://padlet.com/phonemyint3060/Senario1/wish/181762881 Plain radiography of thoracolumbar spine in AP and lateral view.

Ann]]> 2017-08-20 16:15:21 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762881 https://padlet.com/phonemyint3060/Senario1/wish/181762910 Imaging:
MRI to evaluate condition of underlying neural tissue, and type and extent of spinal cord compression.
CT scan to view hidden lesions, indicate extent of vertebral body destruction, and detect small abscesses.

Laboratory:
Tuberculin skin test (note low specificity and sensitivity)
PCR to confirm diagnosis of TB
Sputum collection or bronchoscopy with washings for culture and sensitivity. Tissue biopsy from affected site for histopathological examination.
FBC, CRP, ESR, BUSEC and LFTs as baseline investigations

Ann]]> 2017-08-20 16:16:20 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762910 https://padlet.com/phonemyint3060/Senario1/wish/181762931 Conservative management would commence with rest by spinal brace and anti-tuberculous therapy for 6 months. Supportive treatment e.g. Analgesics for back pain are also included.

Surgical options are chosen with appropriate indications and would include anterolateral decompression and bone graft surgery, costo-transversectomy, or laminectomy.

Physiotherapy and rehabilitation to follow.

Ann]]> 2017-08-20 16:17:11 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762931 https://padlet.com/phonemyint3060/Senario1/wish/181762989 Abscess formation whether paravetebral or prevertebral to facilitate action of anti-tuberculous therapy.
Sudden neurological deficit in a chronic patient under TB treatment.
Neurological deficit that shows no improvement despite 2 weeks of anti-tuberculous therapy in a patient that wasn't initiated on said therapy previously.

Ann]]> 2017-08-20 16:18:15 UTC https://padlet.com/phonemyint3060/Senario1/wish/181762989 Spine examination (neurological examination) and respiratory system, musculoskeletal system and any system that could possibly involve besides nails. https://padlet.com/phonemyint3060/Senario1/wish/181802800
Shelina ]]> 2017-08-21 03:02:47 UTC https://padlet.com/phonemyint3060/Senario1/wish/181802800 1) FBC (LYMPHOCYTOSIS) https://padlet.com/phonemyint3060/Senario1/wish/181802831 2) tissue biopsy
3) chest xray
4) spinal xray and CT scan
5) ELISA / PCR
6) cough sputum culture and sensitivity
7) tuberculin skin test/mantoux test
xuelin]]> 2017-08-21 03:03:02 UTC https://padlet.com/phonemyint3060/Senario1/wish/181802831 compression fracture https://padlet.com/phonemyint3060/Senario1/wish/181803383 pott spine
pyogenic spine
metastatic tumor
eosinophilic granuloma
xuelin

]]> 2017-08-21 03:09:00 UTC https://padlet.com/phonemyint3060/Senario1/wish/181803383 analgesic https://padlet.com/phonemyint3060/Senario1/wish/181803488 spinal braces
anti-TB drug
bed rest
physiotherapy
conservative management failed , only go for surgery
xuelin

]]> 2017-08-21 03:10:20 UTC https://padlet.com/phonemyint3060/Senario1/wish/181803488 conservative management failed (paraplegia sudden worsening), formation of abscess, persistent neurological deficit https://padlet.com/phonemyint3060/Senario1/wish/181803882 xuelin]]> 2017-08-21 03:14:40 UTC https://padlet.com/phonemyint3060/Senario1/wish/181803882 https://padlet.com/phonemyint3060/Senario1/wish/181804122 pott spine
pyogenic spine
metastatic tumor
eosinophilic granuloma

Shelina ]]> 2017-08-21 03:16:59 UTC https://padlet.com/phonemyint3060/Senario1/wish/181804122 Plain radiography of thoracolumbar spine in AP and lateral view. https://padlet.com/phonemyint3060/Senario1/wish/181804239 Shelina ]]> 2017-08-21 03:17:53 UTC https://padlet.com/phonemyint3060/Senario1/wish/181804239 1) FBC (LYMPHOCYTOSIS)2) tissue biopsy for hpe 3) chest xray4) spinal xray and CT scan5) ELISA / PCR6) cough sputum culture and sensitivity7) mantoux test https://padlet.com/phonemyint3060/Senario1/wish/181804312 Shelina ]]> 2017-08-21 03:18:35 UTC https://padlet.com/phonemyint3060/Senario1/wish/181804312 conservative management 1) anti-tuberculous regime2) bed rest 3) analgesic for pain managementSurgical treatment 1) decompression surgery with posterior approach 2) laminectomy 3) costotranversectomy 4) abscess drainage if present of abscess Shelina https://padlet.com/phonemyint3060/Senario1/wish/181804412 2017-08-21 03:20:00 UTC https://padlet.com/phonemyint3060/Senario1/wish/181804412 conservative management failed (paraplegia sudden worsening), formation of abscess, persistent neurological deficit https://padlet.com/phonemyint3060/Senario1/wish/181804520 Shelina]]> 2017-08-21 03:21:23 UTC https://padlet.com/phonemyint3060/Senario1/wish/181804520 Spine and neurological examination https://padlet.com/phonemyint3060/Senario1/wish/181826676 Chuah

]]> 2017-08-21 07:08:15 UTC https://padlet.com/phonemyint3060/Senario1/wish/181826676 -Lumbar spine tuberculosis. -Compression fracture of the lumbar spine below T12. -Lumbar spine pyogenic osteomyelitis. -Secondary Mets-Eosinophilic granuloma. https://padlet.com/phonemyint3060/Senario1/wish/181826746 Chuah]]> 2017-08-21 07:08:52 UTC https://padlet.com/phonemyint3060/Senario1/wish/181826746 X ray of thoracolumbar spine (AP, Lateral view) https://padlet.com/phonemyint3060/Senario1/wish/181826997 Chuah

]]> 2017-08-21 07:11:38 UTC https://padlet.com/phonemyint3060/Senario1/wish/181826997 FBC, TWC (lymphocyte), ESR, CRP, mantoux test, sputum C&S, chest x-ray, tissue biopsy for C&S and HPE. PCR, ELISA https://padlet.com/phonemyint3060/Senario1/wish/181827138 Chuah

]]> 2017-08-21 07:13:10 UTC https://padlet.com/phonemyint3060/Senario1/wish/181827138 Conservative management 1) anti-TB regime-6/122) bed rest (with bracing)3) analgesic Surgical treatment (failed conservative management, abscess formation, neurological deficits)1) decompression surgery with posterior approach 2) laminectomy 3) costotranversectomy 4) abscess drainage if present of abscess https://padlet.com/phonemyint3060/Senario1/wish/181827630 Chuah

]]> 2017-08-21 07:17:06 UTC https://padlet.com/phonemyint3060/Senario1/wish/181827630 -neurological deficit of sudden onset -unresponsive to non-surgical therapy -paravertebral abscess formation -marked spinal deformity https://padlet.com/phonemyint3060/Senario1/wish/181828046 Chuah]]> 2017-08-21 07:20:21 UTC https://padlet.com/phonemyint3060/Senario1/wish/181828046 https://padlet.com/phonemyint3060/Senario1/wish/181829921 Spine and neurological examination

Sau lin]]> 2017-08-21 07:36:50 UTC https://padlet.com/phonemyint3060/Senario1/wish/181829921 https://padlet.com/phonemyint3060/Senario1/wish/181829980 1. Lumbar spine tuberculosis.
2. Compression fracture of the lumbar spine below T12.
3. Lumbar spine pyogenic infection
4. Eosinophilic granuloma.
5. Secondary metastasis
Sau lin ]]> 2017-08-21 07:37:29 UTC https://padlet.com/phonemyint3060/Senario1/wish/181829980 https://padlet.com/phonemyint3060/Senario1/wish/181830099 X ray of the spine (thoracolumbar) AP and lateral view

Sau lin ]]> 2017-08-21 07:38:24 UTC https://padlet.com/phonemyint3060/Senario1/wish/181830099 https://padlet.com/phonemyint3060/Senario1/wish/181830189 1) FBC (LYMPHOCYTOSIS)

2) tissue biopsy
3) chest xray
4) spinal xray and CT scan
5) ELISA / PCR
6) cough sputum culture and sensitivity
7) tuberculin skin test/mantoux test
Sau lin

]]> 2017-08-21 07:39:26 UTC https://padlet.com/phonemyint3060/Senario1/wish/181830189 https://padlet.com/phonemyint3060/Senario1/wish/181830291 Conservative: anti-TB drugs, bed rest with thoracolumbar bracing, analgesics ,drainage of abscess Surgical: decompression

Sau lin ]]> 2017-08-21 07:40:20 UTC https://padlet.com/phonemyint3060/Senario1/wish/181830291 https://padlet.com/phonemyint3060/Senario1/wish/181830465 severe neurological deficit in which
i) paraplegia developed during the anti-tuberculous medication,
ii) sudden deterioration of paraplegia during anti-tuberculous regime,
iii) progressive worsening or no improvement of neurological deficit after 2 weeks of antituberculous regime

3) severe bone deformity that affect the quality of life

Sau Lin ]]> 2017-08-21 07:42:08 UTC https://padlet.com/phonemyint3060/Senario1/wish/181830465 Spine and neurological examination https://padlet.com/phonemyint3060/Senario1/wish/181844169 Mark]]> 2017-08-21 10:12:51 UTC https://padlet.com/phonemyint3060/Senario1/wish/181844169 1. TB spine https://padlet.com/phonemyint3060/Senario1/wish/181844257 2. Pyogenic osteomyelitis of the spine
3. Traumatic spine injury
4. primary and secondary tumor of the spine vertebrae

Mark]]> 2017-08-21 10:14:18 UTC https://padlet.com/phonemyint3060/Senario1/wish/181844257 Thoracolumbar spine X-ray AP & Lateral view https://padlet.com/phonemyint3060/Senario1/wish/181844463 2017-08-21 10:16:14 UTC https://padlet.com/phonemyint3060/Senario1/wish/181844463 FBC, CXR, Sputum smear& culture & sensitivity https://padlet.com/phonemyint3060/Senario1/wish/181844547 Mark]]> 2017-08-21 10:17:03 UTC https://padlet.com/phonemyint3060/Senario1/wish/181844547 Early management: Pain control, bed rest, start anti-TB therapy https://padlet.com/phonemyint3060/Senario1/wish/181844701 Mark]]> 2017-08-21 10:18:36 UTC https://padlet.com/phonemyint3060/Senario1/wish/181844701 1) abscess formation 2) severe neurological deficit in which i) paraplegia developed during the anti-tuberculous medication, ii) sudden deterioration of paraplegia during anti-tuberculous regime, iii) progressive worsening or no improvement of neurological deficit after 2 weeks of anti-TB3) severe bone deformity that affect the quality of life Mark https://padlet.com/phonemyint3060/Senario1/wish/181847878 Mark ]]> 2017-08-21 10:51:10 UTC https://padlet.com/phonemyint3060/Senario1/wish/181847878 Syahida:neurological system and spine https://padlet.com/phonemyint3060/Senario1/wish/182013915 2017-08-22 05:22:31 UTC https://padlet.com/phonemyint3060/Senario1/wish/182013915 syahida https://padlet.com/phonemyint3060/Senario1/wish/182014083 2017-08-22 05:24:25 UTC https://padlet.com/phonemyint3060/Senario1/wish/182014083 syahida:pott's spine,pyogenic oinfection,compression fracture https://padlet.com/phonemyint3060/Senario1/wish/182014087 2017-08-22 05:24:26 UTC https://padlet.com/phonemyint3060/Senario1/wish/182014087 syahida https://padlet.com/phonemyint3060/Senario1/wish/182014331 2017-08-22 05:27:27 UTC https://padlet.com/phonemyint3060/Senario1/wish/182014331 sya https://padlet.com/phonemyint3060/Senario1/wish/182014347 2017-08-22 05:27:49 UTC https://padlet.com/phonemyint3060/Senario1/wish/182014347 syahida https://padlet.com/phonemyint3060/Senario1/wish/182014350 2017-08-22 05:27:52 UTC https://padlet.com/phonemyint3060/Senario1/wish/182014350 syahida: https://padlet.com/phonemyint3060/Senario1/wish/182014354 2017-08-22 05:27:56 UTC https://padlet.com/phonemyint3060/Senario1/wish/182014354 syahida:x ray of thora https://padlet.com/phonemyint3060/Senario1/wish/182014385 2017-08-22 05:28:14 UTC https://padlet.com/phonemyint3060/Senario1/wish/182014385 syahida:x ray of thoracolumbar spine A https://padlet.com/phonemyint3060/Senario1/wish/182014424 2017-08-22 05:28:47 UTC https://padlet.com/phonemyint3060/Senario1/wish/182014424 syahida:anti tubercular dru https://padlet.com/phonemyint3060/Senario1/wish/182014593 2017-08-22 05:31:35 UTC https://padlet.com/phonemyint3060/Senario1/wish/182014593 syahida:fbc,mantoux test,afb,elisa,pcr,biopsy https://padlet.com/phonemyint3060/Senario1/wish/182018481 2017-08-22 06:20:03 UTC https://padlet.com/phonemyint3060/Senario1/wish/182018481 syahida:fbc,mantou https://padlet.com/phonemyint3060/Senario1/wish/182018483 2017-08-22 06:20:04 UTC https://padlet.com/phonemyint3060/Senario1/wish/182018483 syahida https://padlet.com/phonemyint3060/Senario1/wish/182018963 2017-08-22 06:23:58 UTC https://padlet.com/phonemyint3060/Senario1/wish/182018963 syahida: https://padlet.com/phonemyint3060/Senario1/wish/182018981 2017-08-22 06:24:09 UTC https://padlet.com/phonemyint3060/Senario1/wish/182018981 syahida:anti tb drug,analgecic,rest with brace https://padlet.com/phonemyint3060/Senario1/wish/182019044 2017-08-22 06:24:39 UTC https://padlet.com/phonemyint3060/Senario1/wish/182019044 syahida https://padlet.com/phonemyint3060/Senario1/wish/182019060 2017-08-22 06:24:48 UTC https://padlet.com/phonemyint3060/Senario1/wish/182019060 syahida: https://padlet.com/phonemyint3060/Senario1/wish/182019076 2017-08-22 06:24:58 UTC https://padlet.com/phonemyint3060/Senario1/wish/182019076 syahida:abs https://padlet.com/phonemyint3060/Senario1/wish/182019086 2017-08-22 06:25:02 UTC https://padlet.com/phonemyint3060/Senario1/wish/182019086 syahida:abscess formation,paraplegia https://padlet.com/phonemyint3060/Senario1/wish/182019094 2017-08-22 06:25:07 UTC https://padlet.com/phonemyint3060/Senario1/wish/182019094 syahida:abscess formation,parapl https://padlet.com/phonemyint3060/Senario1/wish/182019096 2017-08-22 06:25:08 UTC https://padlet.com/phonemyint3060/Senario1/wish/182019096 Zubaidah: spine and completeneurological examination https://padlet.com/phonemyint3060/Senario1/wish/182022107 2017-08-22 06:51:08 UTC https://padlet.com/phonemyint3060/Senario1/wish/182022107 https://padlet.com/phonemyint3060/Senario1/wish/182034099 spine and neurological examination
Amirah

]]> 2017-08-22 08:37:41 UTC https://padlet.com/phonemyint3060/Senario1/wish/182034099 https://padlet.com/phonemyint3060/Senario1/wish/182034584 1. Lumbar spine tuberculosis.
2. Compression fracture of the lumbar spine below T12.
3. Lumbar spine pyogenic infection
4. Eosinophilic granuloma.
5. Secondary metastasis
Amirah]]> 2017-08-22 08:41:47 UTC https://padlet.com/phonemyint3060/Senario1/wish/182034584 https://padlet.com/phonemyint3060/Senario1/wish/182034681 xray of spine of thoracolumbar region AP And lateral view
Amirah]]> 2017-08-22 08:42:25 UTC https://padlet.com/phonemyint3060/Senario1/wish/182034681 https://padlet.com/phonemyint3060/Senario1/wish/182038566 $]]> 2017-08-22 09:14:07 UTC https://padlet.com/phonemyint3060/Senario1/wish/182038566 https://padlet.com/phonemyint3060/Senario1/wish/182039283 Full blood count, ESR, CRP, mantoux test, sputum culture and sensitivity, PCR, biopsy for C&S and HPE

Amirah

]]> 2017-08-22 09:21:24 UTC https://padlet.com/phonemyint3060/Senario1/wish/182039283 https://padlet.com/phonemyint3060/Senario1/wish/182039357 Analgesic, bed rest and bracing and start on the anti-tuberculosis drugs regime.
If initial treatment fails or condition deteriorate despite compliance to conservative tx , surgery will be the next option.

Amirah]]> 2017-08-22 09:22:12 UTC https://padlet.com/phonemyint3060/Senario1/wish/182039357 https://padlet.com/phonemyint3060/Senario1/wish/182041841 Operative treatment is indicated
1. when there is an abscess formation

2. For advanced disease with marked bone destruction and threatened or actual severe kyphosis

3. neurological deficit including paraparesis that has not responded to drug therapy

Amirah]]> 2017-08-22 09:47:42 UTC https://padlet.com/phonemyint3060/Senario1/wish/182041841 neurological system (shevern) https://padlet.com/phonemyint3060/Senario1/wish/182048755 2017-08-22 11:04:15 UTC https://padlet.com/phonemyint3060/Senario1/wish/182048755 lumbar spine TB https://padlet.com/phonemyint3060/Senario1/wish/182048847 Compression fracture of lumbar spine below t12
pyogenic infection
eosinophilic granuloma
(shevern)]]> 2017-08-22 11:05:06 UTC https://padlet.com/phonemyint3060/Senario1/wish/182048847 x-ray of the whole spine AP and lateral view https://padlet.com/phonemyint3060/Senario1/wish/182048982 (Shevern)]]> 2017-08-22 11:06:15 UTC https://padlet.com/phonemyint3060/Senario1/wish/182048982 full blood count https://padlet.com/phonemyint3060/Senario1/wish/182049023 ESR, CRP
ELISA
PCR
Biopsy and HPE
mantoux test
Shevern]]> 2017-08-22 11:06:55 UTC https://padlet.com/phonemyint3060/Senario1/wish/182049023 conservative: analgesics, bed rest and bracing. https://padlet.com/phonemyint3060/Senario1/wish/182049119 2017-08-22 11:08:03 UTC https://padlet.com/phonemyint3060/Senario1/wish/182049119 conservative: analgesics, bed rest and bracing. anti-tb for 9months https://padlet.com/phonemyint3060/Senario1/wish/182049120 surgical intervention when paravertebral abscess or progressive neurological deficit\

shevern]]> 2017-08-22 11:08:03 UTC https://padlet.com/phonemyint3060/Senario1/wish/182049120 paravertebral abscess or complication of pott's paraplegia which does not resolve with conservative treatment, rapid progression of the neurological deficit https://padlet.com/phonemyint3060/Senario1/wish/182049227 Shevern]]> 2017-08-22 11:09:01 UTC https://padlet.com/phonemyint3060/Senario1/wish/182049227 Spine and neurological examination to assess level of lesion phonemyint3060 https://padlet.com/phonemyint3060/Senario1/wish/182234251 Dr Phone]]> 2017-08-23 02:17:23 UTC https://padlet.com/phonemyint3060/Senario1/wish/182234251 Compressed fracture T12 Tuberculosis T12 Secondary metastasis T12 Prolapse intervertebral disc T12-L1 phonemyint3060 https://padlet.com/phonemyint3060/Senario1/wish/182234501 Dr Phone ]]> 2017-08-23 02:18:53 UTC https://padlet.com/phonemyint3060/Senario1/wish/182234501 Xray Dorsolumbar spine (AP and lateral view phonemyint3060 https://padlet.com/phonemyint3060/Senario1/wish/182235287 Dr Phone]]> 2017-08-23 02:23:08 UTC https://padlet.com/phonemyint3060/Senario1/wish/182235287 Full blood count got lymphocytosis and ESR Mantoux test PCR polymerase chain reaction Sputum for AFB CXR Biopsy for histological study and culture and sensitivity phonemyint3060 https://padlet.com/phonemyint3060/Senario1/wish/182235527 Dr Phone ]]> 2017-08-23 02:24:09 UTC https://padlet.com/phonemyint3060/Senario1/wish/182235527 Anti-TB treatment Bed rest and Dorso-lumbar bracing Analgesic Physiotherapy Drainage of tuberculous abscess phonemyint3060 https://padlet.com/phonemyint3060/Senario1/wish/182236261 Dr Phone]]> 2017-08-23 02:28:54 UTC https://padlet.com/phonemyint3060/Senario1/wish/182236261 Paravertebral abscess Deterioration of neurological deficit during anti-TB treatment Marked bony destruction threatening to severe kyphosis phonemyint3060 https://padlet.com/phonemyint3060/Senario1/wish/182237716 Dr Phone]]> 2017-08-23 02:40:10 UTC https://padlet.com/phonemyint3060/Senario1/wish/182237716