Psoas Abscess And Appendicitis

Causes

• The main cause of Psoas Abscess is hematogenous infection. Sources of hematogenous infection such as skin and soft tissue, infected catheter, bacterial endocarditis, respiratory tract infection, urinary tract infection, dental abscess.
• Psoas Abscess may be occur due to several diseases such as disordered folliculogenesis, hormonal imbalances, ovarian cancer, metastatic cancer.

Symptoms

• Psoas abscess may present with hip, groin, abdomen, lower back, buttock, or upper thigh pain associated with fever and limping.

Signs

• Hip held in flexion, abduction, and external rotation (like arthritis of the hip)
• Hip extension and internal rotation (stretches the iliopsoas muscle) may cause increased pain.
• Rectal examination may occasionally reveal a mass and tenderness on the affected side.
• Scoliosis to the side of the abscess
• Gait disturbance manifested by a cautious, slow gait and flexion of the trunk may be observed with appendicitis.

Treatment

• You can treat Psoas Abscess by using Prehospital Care, In which procedure it establish airway, breathing, and circulation, obtain IV access in potentially unstable patients during transport and make an appropriate base hospital contact to alert receiving facility of the imminent arrival of a potentially unstable patient.
• In which the Emergency Department Care, it provide supplemental oxygen and cardiac and oximetric monitoring for all patients that are caused by Psoas Abscess and also provide aggressive fluid resuscitation with crystalloid solutions and blood products as needed. Emergency O-negative transfusions should be ordered for the rare patient that arrives profoundly hypovolemic, hemodynamically unstable, and unresponsive to aggressive initial fluid resuscitation. Provide culdocentesis in the hemodynamically unstable patient who cannot wait for ultrasonographic studies.