Complications of Chronic Osteomyelitis:
i. Acute excacerbation
ii. Growth abnormalities due to damage to adjacent growth plate
iii. Pathological fracture
iv. Joint stiffness
v. Sinus tract malignancy (very rare): Squamous cell carcinoma
vi. Amyloidosis.
#Surgery
i. Acute excacerbation
ii. Growth abnormalities due to damage to adjacent growth plate
iii. Pathological fracture
iv. Joint stiffness
v. Sinus tract malignancy (very rare): Squamous cell carcinoma
vi. Amyloidosis.
#Surgery
The Important Complications of Acute Osteomyelitis are:
i. Septicemia and pyaemia
ii. Septic arthritis
iii. Chronic osteomyelitis (most common complication)
iv. Metastatic infection to other body parts
v. Pathological fracture
vi. Altered growth from damage to epiphyseal growth plate.
vii. Recurrence.
#Surgery
i. Septicemia and pyaemia
ii. Septic arthritis
iii. Chronic osteomyelitis (most common complication)
iv. Metastatic infection to other body parts
v. Pathological fracture
vi. Altered growth from damage to epiphyseal growth plate.
vii. Recurrence.
#Surgery
Any shaft fracture in body, use AO classification:
For example:
Bone =femur=3
Segment =2 "diaphysis or shaft"
A simple fracture
B wedge fracture
C complex fracture.
#Surgery
For example:
Bone =femur=3
Segment =2 "diaphysis or shaft"
A simple fracture
B wedge fracture
C complex fracture.
#Surgery
Both radius and ulna shaft fractures classification:
A simple fracture
B wedge fracture
C complex fracture.
A simple fracture
B wedge fracture
C complex fracture.
Distal humeral /femoral fracture classification:
Type A: Extra-articular "supracondylar in distal humeral #"
Type B: Partial articular "unicondylar"
Type C: Complete articular "bicondylar"
#Surgery
Type A: Extra-articular "supracondylar in distal humeral #"
Type B: Partial articular "unicondylar"
Type C: Complete articular "bicondylar"
#Surgery
Stages of Impingement syndrome:
Stage I: edema and inflammation
Reversible lesion
Positive Neer impigement
Tenderness over GT
Stage II: Fibrosis and tendinitis
Not reversible
As S I plus:
Crepitus of soft tissue
Catching sensation at lowering shoulder
Stage III: Bone spur and tendon rupture
Not reversible
Like II and I
#Surgery
Stage I: edema and inflammation
Reversible lesion
Positive Neer impigement
Tenderness over GT
Stage II: Fibrosis and tendinitis
Not reversible
As S I plus:
Crepitus of soft tissue
Catching sensation at lowering shoulder
Stage III: Bone spur and tendon rupture
Not reversible
Like II and I
#Surgery
Phases of Adhesive capsulitis "Frozen shoulder":
1-Painful phase: Synovitis
2-Adhesive phase: fibrosis
3-Resolution phase: obliteration and contraction of GH joint space.
#Surgery
1-Painful phase: Synovitis
2-Adhesive phase: fibrosis
3-Resolution phase: obliteration and contraction of GH joint space.
#Surgery
Quick Notes
Symptoms and Signs of advanced Gastric cancer: Symptoms: 1-In advanced cancer, early satiety, bloating, distension and vomiting may occur. 2-The tumour frequently bleeds, resulting in iron-deficiency anaemia. 3-Obstruction leads to dysphagia, epigastric…
4&5 in symptoms, they are not symptoms, but are signs.
Forwarded from Quick Notes
Whipple's operation:
It is done for treatment of pancreas adenocarcinoma.
It contains removal of head and neck of the pancreas, whole duodenum, antrum of stomach, GB and CBD.
Then anastomoses: hepatic and pancreatic ducts and stomach to the jejunum.
#Surgery
It is done for treatment of pancreas adenocarcinoma.
It contains removal of head and neck of the pancreas, whole duodenum, antrum of stomach, GB and CBD.
Then anastomoses: hepatic and pancreatic ducts and stomach to the jejunum.
#Surgery
Pilonidal sinus:
-It's an acquired disease, seen in hairy males, consisting of noninfected, midline openings communicating with a fibrous track lined by granulation tissue and containing hair lying loosely within the lumen.
-Common among military personnel, also known as ‘jeep disease’.
-It's an acquired disease, seen in hairy males, consisting of noninfected, midline openings communicating with a fibrous track lined by granulation tissue and containing hair lying loosely within the lumen.
-Common among military personnel, also known as ‘jeep disease’.
-A pilon or plafond fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint.
-Pilon fractures are caused by rotational "shear" or axial forces, mostly as a result of falls from a height or motor vehicle accidents.
T1:nondisplaced cleavage fracture of ankle j,
T2:displaced fracture with minimal impaction or comminution,
T3:displaced fracture with significant articular comminution&metaphyseal impaction.
#Surgery
-Pilon fractures are caused by rotational "shear" or axial forces, mostly as a result of falls from a height or motor vehicle accidents.
T1:nondisplaced cleavage fracture of ankle j,
T2:displaced fracture with minimal impaction or comminution,
T3:displaced fracture with significant articular comminution&metaphyseal impaction.
#Surgery
Quick Notes
Remember: In compartment syndrome. -Pain out of proportion to injury (typically first and most significant symptom). -Pain with passive stretch (most sensitive sign). -5Ps:late signs-do not wait for these to develop to make the diagnosis!! -Tornoto…
-One immediate management is Fasciotomy.
Advice to patients with Diabetic foot:
-"Patient education to keep feet as clean as face"!
-Avoid smoking and should not cut their own toes nails.
... etc
-"Patient education to keep feet as clean as face"!
-Avoid smoking and should not cut their own toes nails.
... etc