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TB spine.pptx

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Ranjan Kumari

Tuberculosis of the spine and bone occurs when the Mycobacterium tuberculosis bacteria reaches the spinal cord and bones, affecting the spinal cord. Common symptoms include localized back pain, restricted spinal movement, fever, night sweats, and weakness. Diagnosis involves x-rays, CT/MRI scans, tuberculin skin tests, and examination of cerebrospinal fluid. Treatment consists of a multi-drug anti-tuberculosis chemotherapy regimen for at least two months along with bed rest, bracing of affected areas, nutrition support, and drainage of any abscesses. Surgery may be needed for decompression or debridement in some severe cases.

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TUBERCULOSIS OF SPINE AND BONE
DEFINITION ? SPORTS SPINE IS ALSO KNOWN AS TUBERCULOSIS IN SPINAL CORD AND SPINE ? IT OCCURS WHEN THE MYCOBACTERIUM TUBERCULOSIS ARE REACHED IN SPINAL CORD AND AFFECT THE SPINAL CORD ? IT¡¯S ANOTHER NAME IS TUBERCULOSIS SPONDYLOLYSIS OR POTTS CARIES OR DAVID DISEASE OR POTTS CURVATURE ? BONE IS THE MOST COMMON SITE OF TUBERCULOSIS HIP AND KNEES ARE ALSO OFTEN AFFECTED
TB spine.pptx
ETIOLOGY AND RISK FACTORS ? CAUSATIVE ORGANISM MYCOBACTERIUM TUBERCULOSIS. ? SPREAD LYMPHATIC AND HEMATOGENOUS BY BLOOD ? COMMONLY ASSOCIATED WITH AIDS ,DRUG ADDICTION ,ALCOHOLISM
CLINICAL MANIFESTATIONS ? BACK PAIN IS LOCALISED ? RESTRICTED SPINAL MOVEMENT ? FEVER ,NIGHT SWEAT AND WEIGHT LOSS ? WEAKNESS, SPINAL DEFORMITY CAUSES MUSCLE WASTING ? PARAVERTEBRAL SWELLING MAY BE SEEN ? MUSCLE WEAKNESS OF THE LEG ? SPINAL ABSCESS ? COMPRESSIVE MYELOPATHY ? BONE NECROSIS ? OSTEOMYELITIS
TB spine.pptx
DIAGNOSTIC EVALUATION ? COMPLETE HEALTH HISTORY AND PHYSICAL EXAMINATION ? PREVIOUS EXPOSURE OF TB ? SPINE X RAY:- TO FIND THE LESION IN THE SPINAL CORD ? CSF TEST:- TO FIND OUT THE BACTERIUM TB ? TUBERCULIN TEST ? CT SCAN AND MRI ? RADIONUCLIDE SCANNING ? GALLIUM AND TC BONE SCAN
MEDICAL MANAGEMENT ANTI TUBERCULOSIS CHEMOTHERAPY ISONIAZID AND RIFAMPIN SHOULD BE ADMINISTERED OTHER ANTI TUBERCULOSIS DRUGS AT LEAST FOR TWO MONTHS BED REST ADVICE TO RELIEF PAIN AND SPASM IMMOBILIZATION OF AFFECTED JOINT BY APPLICATION OF OF TAYLOR BRACE NUTRITIOUS ,HIGH PROTEIN DIET ADVICE TO PATIENT DRAINAGE OF ABSCESS IF PRESENT PHYSIOTHERAPY PROVIDED TO THE PATIENT
SURGICAL MANAGEMENT ? SURGICAL DECOMPRESSION ? LAMINECTOMY ? ANTERIOR RADICAL FOCAL DEBRIDEMENT ALSO DONE
NURSING DIAGNOSIS AND NURSING INTERVENTION ? ACUTE PAIN RELATED TO INFLAMMATORY PROCESS ? DISTURBED BODY IMAGE ? SELF CARE DEFICIT ? IMPAIRED PHYSICAL MOBILITY

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TB spine.pptx

  • 2. DEFINITION ? SPORTS SPINE IS ALSO KNOWN AS TUBERCULOSIS IN SPINAL CORD AND SPINE ? IT OCCURS WHEN THE MYCOBACTERIUM TUBERCULOSIS ARE REACHED IN SPINAL CORD AND AFFECT THE SPINAL CORD ? IT¡¯S ANOTHER NAME IS TUBERCULOSIS SPONDYLOLYSIS OR POTTS CARIES OR DAVID DISEASE OR POTTS CURVATURE ? BONE IS THE MOST COMMON SITE OF TUBERCULOSIS HIP AND KNEES ARE ALSO OFTEN AFFECTED
  • 4. ETIOLOGY AND RISK FACTORS ? CAUSATIVE ORGANISM MYCOBACTERIUM TUBERCULOSIS. ? SPREAD LYMPHATIC AND HEMATOGENOUS BY BLOOD ? COMMONLY ASSOCIATED WITH AIDS ,DRUG ADDICTION ,ALCOHOLISM
  • 5. CLINICAL MANIFESTATIONS ? BACK PAIN IS LOCALISED ? RESTRICTED SPINAL MOVEMENT ? FEVER ,NIGHT SWEAT AND WEIGHT LOSS ? WEAKNESS, SPINAL DEFORMITY CAUSES MUSCLE WASTING ? PARAVERTEBRAL SWELLING MAY BE SEEN ? MUSCLE WEAKNESS OF THE LEG ? SPINAL ABSCESS ? COMPRESSIVE MYELOPATHY ? BONE NECROSIS ? OSTEOMYELITIS
  • 7. DIAGNOSTIC EVALUATION ? COMPLETE HEALTH HISTORY AND PHYSICAL EXAMINATION ? PREVIOUS EXPOSURE OF TB ? SPINE X RAY:- TO FIND THE LESION IN THE SPINAL CORD ? CSF TEST:- TO FIND OUT THE BACTERIUM TB ? TUBERCULIN TEST ? CT SCAN AND MRI ? RADIONUCLIDE SCANNING ? GALLIUM AND TC BONE SCAN
  • 8. MEDICAL MANAGEMENT ANTI TUBERCULOSIS CHEMOTHERAPY ISONIAZID AND RIFAMPIN SHOULD BE ADMINISTERED OTHER ANTI TUBERCULOSIS DRUGS AT LEAST FOR TWO MONTHS BED REST ADVICE TO RELIEF PAIN AND SPASM IMMOBILIZATION OF AFFECTED JOINT BY APPLICATION OF OF TAYLOR BRACE NUTRITIOUS ,HIGH PROTEIN DIET ADVICE TO PATIENT DRAINAGE OF ABSCESS IF PRESENT PHYSIOTHERAPY PROVIDED TO THE PATIENT
  • 9. SURGICAL MANAGEMENT ? SURGICAL DECOMPRESSION ? LAMINECTOMY ? ANTERIOR RADICAL FOCAL DEBRIDEMENT ALSO DONE
  • 10. NURSING DIAGNOSIS AND NURSING INTERVENTION ? ACUTE PAIN RELATED TO INFLAMMATORY PROCESS ? DISTURBED BODY IMAGE ? SELF CARE DEFICIT ? IMPAIRED PHYSICAL MOBILITY