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Clinical Scenario 6 - Fever, Back Pain - Video Introduction

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Okay, so we are at the final clinical scenario,

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clinical scenario number six,

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where the patient has fever and back pain.

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Now,

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this is often seen in IV drug abusers or patients with AIDS

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that have a propensity for discitis and osteomyelitis.

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You may also see this in the post-op spine patients

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who have had fusion or instrumentation,

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where they come back in a week or

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so post-op with fever and back pain.

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You can also see this in patients who have tuberculosis

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of the lungs with secondary Pott's disease involving

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the spinal canal. So in some cases,

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we just see the patient being sent down as an inpatient.

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The patient has sepsis and they have not, as of yet,

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found a source of the infection after going through the chest

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x-rays and the urinary tract and

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you know, doing the urinalysis,

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and they're just looking randomly for

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the source of the patient's sepsis.

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So these are some of the scenarios in which you may

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see the patient being evaluated for fever, back pain.

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Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Neuroradiology

Head and Neck

Emergency

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