Describe the clinical presentation of an epidural abscess

Epidural abscess can result from hematogenous spread, local extension, or direct inoculation. This condition is usually found in adults; risk factors include intravenous drug abuse, diabetes mellitus, prior spine trauma, renal failure, and pregnancy. The majority of cases are located in the thoracic spine. The initial presentation includes localized pain and fever with elevation of the ESR, CRP, and leukocyte count. Blood cultures are positive in 60% of patients. Without treatment, significant neurologic deficits occur and eventually paralysis may develop.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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