ARetropharyngeal abscess is usually seen in infants or young children.
The retropharyngeal space is posterior to the pharynx, bound by the buccopharyngeal fascia anteriorly, the prevertebral fascia posteriorly.
It is a potentially life-threatening medical condition.
The abscess is limited to one side of the midline.This is because of the intervening median raphe of the bucco-pharyngeal fascia which is firmly attached to the pre-vertebral fascia.
* Upper respiratory tract infection
* Oral infections
* Pharyngeal trauma from endotracheal intubation,endoscopy, foreign body ingestion
- Breathing difficulty
- Difficulty swallowing(Dysphagia)
- Painfull swallowing (Odynophagia)
- Drooling of saliva
- High fever
- Intercostal retractions
- Sore throat
- Posterior pharyngeal edema
- Nuchal rigidity
- Cervical adenopathy
* Blood cultures
* C-reactive protein
* Lateral Neck Xray
Widening of the retropharyngeal soft tissues
Widening of the prevertebral space
Gas in the tissues
Straightening of cervical vertebrae
* Contrast CT scan of the neck - Retropharyngeal abscess appears as a hypodense lesion in the retropharyngeal space with peripheral ring enhancement.
* Chest XRAY - To exclude aspirational pneumonia and mediastinitis
1. Airway obstruction
2. Aspiration pneumonia
5. Epidural abscess
6. Jugular venous thrombosis
7. Necrotizing fasciitis
2. Surgery is needed to drain the infected area
3. IV Antibiotics - Gram-positive organisms , gram-negative organisms, and anaerobes must be covered
4. Corticosteroids are sometimes given to reduce airway swelling
This is a MRI of a brain of a 10 year old girl who admitted to the hospital who attended puberty 2months before,now complaining of dull and diffuse type headache associated with visual impairement.And growth retardation also noted in this Child.
What is the probable diagnosis in this girl?
What are the complications and possible outcome of this ?
Describe the characteristic Radiological findings in these X ray?
These are the Two Xrays (One is Xray KUB and Other one is Xray of the Pelvis) taken from a woman was complaining of Lower back and Loin pain for 3 weeks duration.Along with that she also had lassitude and dyspepsia.Comment on these two Xrays?And What are the Biochemical tests that you would like to do on this situation?
- Violently shakes an infant or small child- classical finding in Shaken baby syndrome or Battered Baby Syndrome
- cerebral atrophy, e.g. elderly
- Low CSF pressure after shunting
- Coagulation disorder or anticoagulation therapy
- Loss of consciousness or fluctuating levels of consciousness
- Focal neurological signs
- Signs of increased ICP
- At the End stage, signs of Brain Stem herniation
- CT scan is mandatory
Initially it is become hyperdense and after 10-20 days, the subdural hematoma becomes isodense with brain. Later it becomes relatively hypodense
- Skull X-ray
- Large or symptomatic hematomas require a craniotomy
- Evacuate hematoma through 2-3 burr holes, and irrigate cavity with saline
- In infants,evacuate haematoma through the anterior fontanelle
- Identifies and controls sites of bleeding
- Conservative management - steroid treatment over several weeks if it is small.