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F.M.Egrish
F.M.Egrishover 4 years ago
Case study

Case study

πŸ§πŸ€”ur diagnosis

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over 4 years ago

The psoas fascia covers the ant surface of the psoas muscle and can influence the direction taken by a tuberculous abscess.tuberculous disease of the thoracolumbar region of the vertebral column result in the destruction of the vertebral bodies with possible extension of pus laterally under the psoas fascia from there the pus tracks downward following the course of the psoas muscle and appears as a swelling in the upper part of the thigh below the inguinal ligament it may be mistaken for a femoral hernia

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over 4 years ago

Scoliosis?

over 4 years ago

I wrote what it is in comment 😊

over 4 years ago

What is psoas abscess?

over 4 years ago

Is this psoas abscess or potts disease?

over 4 years ago

What type of imaging is this?

over 4 years ago

I didn’t take radiology course πŸ˜…Thank you Ben Black

over 4 years ago

It obviously a CT not an MRI

over 4 years ago

So this case is psoas abscess result from TB vertebra?

over 4 years ago

It’s psoas abscess but the cause is unknown mostly tuberculous

over 4 years ago

I read that the TB and malignancy metastasis could present with same imaging so the biopsy solve the problem.

over 4 years ago

Malignancy metastasis spread from the primary site through blood and lymph so first it’s affected the liver and lymph nodes and maybe bones or lungs

over 4 years ago

And we can know it’s TB from the symptoms like weight loss and cough

over 4 years ago

If this is ct scan, contrast is of benefit to confirm dx of psoas abscess.