pott's dse

Potts disease ( Potts curvature or Angular kyposis)

Tuberculosis of the spine, the most common site of bone and joint tuberculosis. A progressive

o

destructive disease resulting from the activity of Mycobacterium tuberculosis in bone or articular structures. It caused by infection in another part of the body, such as lungs or lymph nodes. It also called Tuberculous Spondylitis. It has been documented in ancient mummies from Egypt and

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Peru and is one of the demonstrated diseases of humankind. Percival Pott presented the classic description of spinal tuberculosis in 1779. Tuberculous involvement of the spine has the potential for serious morbidity, including permanent

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neurological deficits and severe deformity. Medical treatment or combined medical and surgical strategie s can control the disease in most

o

patients. Is a presentation of extrapulmonary TB that affects the spine.

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Signs

and symptoms:

Diagnostic tools:



Back pain





Fever





Night



Weight

loss





Spinal mass



blood tests skin tests radiographs of the spine bone scan CT of the spine bone biopsy



Pneumonia



sweating

Anorexia

Complications

 



Spine Deformities



Bed sores



Cold



Constipation



Paraplegia

ANATOMY

abscess

The spinal column is the center for control of our posture and provides our stability when we stand. It also allows for flexibility, so that we can do different things such as stand or sit, stretch backward or bend forward.

We

can even twist our

backs or necks one way or another. Because of its many functions, the spine is very vulnerable to injury  injuries can occur to the bones themselves, the ligaments that connect the bones, discs that separate each vertebral bone from one another, or muscles that give movement to our spinal skeleton.

PATHOPHYSIOLOGY

Pulmonary tuberculosis Spread of mycobacterium tuberculosis from other site Extrapulmomary tuberculosis The infection spreads from two adjacent vertebrae into the adjoining disc space back pain, fever, night sweats, anorexia, weight loss One vertebra is affected, the disc is normal. Two are involved, the avascular intervertebral disc cannot receive nutrients and collapse Disk tissue dies and broken down by caseation Vertebral narrowing Vertebral collapse Spinal damage Nursing Diagnoses y

Pain

y

Imbalanced nutrition, less than body requirements

y

Risk

for impaired skin integrity

y

Risk

for spread of infection

y

Activity intolerance

y

Impaired physical mobility

y

Self care deficit

y

Risk for constipation

y

Anxiety

y

Chronic

y

Knowledge

low self-esteem deficit

Nursing intervention y

Monitor vital sign

y

Provide comfort measure

y

Inspect skin for presence of cold abscess

y

Increased fluid intake

y

Check traction setup

y

Promote deep breathing and coughing exercise

y

Keep

skin clean and dry

y

Note

emotional and behavioral responses to problem of immobility

y

Encourage patient to express feelings

y

Assist with physical therapy

y

Administered multivitamins as indicated

y

Provide a balanced diet of complex carbohydrates and ordered amount of high-quality protein and essential amino acids.

Medical management y y

non-operative - antituberculous drugs analgesics

Surgical mangement

y

Surgery may be necessary, especially to drain spinal abscesses or to stabilize the spine Anterior Decompression and/or Fusion of the Spine

y

Richards

y

y y y

intramedullary hip screw - facilitating for bone healing Kuntcher Nail - intramedullary rod Austin Moore - intrameduallary rod (for Hemiarthroplasty) Taylor Brace

Discharge

Plan

P- atient should be reminded to attend check ups at the nearest. O- rthopedic center T- reatment should be taken in a.. T- imely manner S- ight any symptoms other than the usual and report it to the physician