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Urinary Tract Infection (Children)

Overview Urinary Tract infections (UTIs) in children are common and usually carry low risk. UTIs are often non-specific and can not be diagnosed on symptoms alone. A clean specimen (urine) is required for the diagnosis of UTI. Any child who is unwell, and most children under 6 months, should be admitted for IV antibiotics. The…

Basic Calcium Phosphate Disease / Milwaukee Shoulder Syndrome

Overview Basic Calcium Phosphate (BCP) disease is a crystal-associated arthropathy characterized by deposition of BCP crystals in periarticular and intra-articular tissues. A severe clinical presentation of BCP disease is Milwaukee Shoulder Syndrome, which typically affects elderly women, leading to rapid joint destruction, massive rotator cuff tears, and non-inflammatory joint effusion. It often involves the shoulder,…

Pulmonary Embolism

Overview Pulmonary embolism occurs most often from a dislodged thrombus from the lower limb (DVT). The embolus travels towards the lung and becomes lodged in the pulmonary artery resulting in infarction of the lung tissue. Pulmonary Embolism: Deep Vein Thrombosis (DVT): Blood clot in the deep venous system that usually affects the lower extremities or…

Spermatocele

Overview  A spermatocele, or spermatic cyst, is a benign fluid-filled cyst arising from the epididymis, usually near the upper pole of the testis. It commonly contains clear or milky fluid with spermatozoa. Most spermatoceles are painless, discovered incidentally and do not require treatment. Epididymis: coiled structure behind the testis that stores and transports sperm. Spermatocele:…

Croup

Overview Croup, also known as largnotracheobronchitis, is a usually self limiting upper airway viral infection causing upper airway obstruction. Croup is more common in boys than in girls, usually occurs between six and 36 months of age, and peaks during the second year of life. Croup is usually caused by viruses, which are detected in up to…

Aortic Stenosis

Overview Aortic valve stenosis is characterised by obstruction of left ventricular outflow, resulting in inadequate cardiac output, decreased exercise capacity, heart failure, and death from cardiovascular causes. Mild to moderate aortic stenosis is usually a symptomatic, but occasionally can be found on routine examination Locations of stenosis – Valvular (common), supravalvular and subvalvular Aortic Stenosis…

Spondylarthropathy

Overview  The spondyloarthropathies are a diverse group of inflammatory arthritides that share certain genetic predisposing factors and clinical features. Their most characteristic feature is inflammatory back pain. Enthesitis, another characteristic feature, involves inflammation at sites where tendons, ligaments, or joint capsules attach to bone. Features of Spondylarthropathy Sacroiliac and spinal (axial involvement) Enthesitis at long attachments…

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