By Parminder J Singh, Catherine Swales
A 24-year-old girl attends rheumatology outpatients with an eight-week historical past of painful arms. On exam she is tearful and skinny. you're the medic on duty...
100 instances in Orthopaedics and Rheumatology provides a hundred situations quite often visible by means of clinical scholars and junior medical professionals in orthopaedic and rheumatology clinics, or within the emergency division. A succinct precis of the patient's background, exam and preliminary investigations, with scientific and/or imaging pictures, is through questions about the prognosis and administration of every case. the reply incorporates a certain dialogue on each one subject, with extra representation the place acceptable, supplying a vital revision reduction in addition to a realistic advisor for college students and junior medical professionals.
Making scientific judgements and selecting the simplest plan of action is among the such a lot tough and hard components of teaching to turn into a physician. those instances will train scholars and junior medical professionals to acknowledge vital indicators and indicators and, the place acceptable, their dating to different health conditions, and to improve their diagnostic and administration abilities.
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Additional resources for 100 Cases in Orthopaedics and Rheumatology
During the aftermath, some of the building collapsed and his leg was crushed by a slab of concrete. It took 2 hours to release him and take him to hospital. Examination This young man’s right leg shows extensive bruising and swelling, as well as dust from the concrete. On palpation, the right calf is very tense anteriorly and posteriorly. The patient also complains of intense pain on passive stretching of his toes. He reports some altered sensation in the right foot compared to the left. His foot pulses are, however, present.
The majority of femoral shaft fractures are united by 3–5 months. KEY POINTS • Following a femoral shaft fracture, fat embolism can lead to respiratory compromise. • Femoral shaft fractures can result in up to 2–3 units of blood loss. • The majority of femoral shaft fractures are treated surgically with intramedullary nails or plate fixation, following adequate resuscitation. 40 Orthopaedics CASE 15: GROIN PAIN FOLLOWING A FALL History A 79-year-old woman has presented to the emergency department after a fall.
There are two types of supracondylar fracture: the extension type (95 per cent) and the ﬂexion type (5 per cent). The pattern of the fracture occurs with failure of the anterior cortex ﬁrst, followed by posterior displacement of the distal fragment. For the extension type injury, Gartland in 1959 classiﬁed the injury into three types: type I is undisplaced; type II is displaced with the posterior hinge intact; and type III is completely displaced with no periosteal attachment – as in this case.
100 Cases in Orthopaedics and Rheumatology by Parminder J Singh, Catherine Swales