Download Free Medical Orthopaedics PowerPoint Presentation

Orthopaedics PowerPoint Presentation

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Description : Download free Orthopaedics PowerPoint presentation with slides on slides on diseases of bone and Orthopedic surgeons.

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Published on : Aug 17, 2017 | Views : 3096 | Downloads : 12

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Slide 1-

Orthopaedics
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Orthopedic surgeons:- deal with deformity, diseases of bone and joints, and injuries to the musculoskeletal system.
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Generally Dx depend on:- 1-Hx taking. 2-Physical examination. 3-Investigation
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Personal Hx Chief complain(symptoms) Present Hx Past Hx Family Hx Social Hx History taking of orthopedic pt :-
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*The most common complaints in orthopaedic: Pain Swelling Stiffness Deformity Weakness Instability Change in sensibility Loss of function *Personal history Name-Age-Sex-Occupation-Marital state-Residence-Address and date of Admission. *Present history: Analysis for chief complaint.
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1- Pain:- Analysis by SOCRATES - the most common symptom. - ask pt to point to where it hurts. - pain in or near the skin is localized ,but in deep structure is more diffuse as hip disease manifest with pain in the knee. - autonomic pain affect the autonomic nerves is more vague associate with vasomotor and tropic changes. - Pain is sharp, sudden onset, exaggerated by movement, relived by rest and immobilization, usually not referred.
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2-stiffness:- - May be : generalized as in rheumatoid arthritis or ankylosing spondylitis or localized to a particular joint. - Limited movement should never be assumed until verified by examination. Ask when it occur:- early morning stiffness of many joint is rheumatoid arthritis, transient stiffness 1 or 2 joint after period of inactivity is osteoarthritis. - locking:- sudden inability to complete a certain movement suggest mechanical block.
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3- swelling:- - May be in soft tissue, joint, or the bone. - If appear rapidly following injury is hematoma or haemarthrosis. - If appear slowly is tissue inflammation or joint effusion. - If it is painful , may due inflammation.
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4- deformity:- - Some is variation of normal as: wide hips. - Some disappear spontaneously with growth as: flat feet. - Some is progressive if appear on only one side of body.
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5-weakness:- - If affecting single of muscles suggest neurologic disorder. - Prolong joint dysfunction will lead to weakness. 6-instability:- - Due to ligamentious deficiency, recurrent subluxation. 7-change in sensiblity:- Tingling or numbness interference with nerve function may due to pressure from neighboring structure as in prolapse intervertebral disc. 8- loss of function.
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*Past Hx:- ASK about previous accident,illness,operation and drug therapy. *Family Hx:- ASK about MSS in pt’s family help in Dx and counseling. *Social Hx:- ASK about detail of work, smoking… *Systemic review.
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