CASEPRESENTATIONONTIBIALFRACTURE在胫骨骨折病例报告文稿演示
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He underwent external fixation of tibia on the same day of admission as an emergency case ➢PAST MEDICAL AND SURGICAL HISTORY
No past history
Investigations Done For The Patient
Medications
IV FLUIDS
N.S 0.9%
Dextrose 5%
ANALGESICS • diclofenac 75mg im . • pethedine 50 mg im.
ANTIBIOTICS ▪inj . augmentin 1.2 gm iv tid ▪inj. flagyl 500mg iv bd ▪inj .amikacin 500mg iv bd
•CBC
LAB REPORTS
TEST on 17/12/12 CBC HB HCT RBC
RESULT
11.1g/dl 33.8g/dl 4.02
PLT
sodium pottassium PT APTT INR
RH typing
254
134 3.8 13.1 28.1 1.2
B+ve
REFERENCE RANGE 13.7-17.5g/dl
VITAL SIGNS OF THE PATIENT ARE
BP : 120/80 mm of hg
PR
:86/mt
RR :16/mt
SKIN
Skin is warm to touch.
Tenderness over rt ankle Laceration on rt toes Noted abrasions on rt lower limb.
The tibia can break in several ways. The severity of the fracture usually depends on the amount of force that caused the break. The fibula is
Lower extremity appear shortened
NEUROLOGIC
To Follow Commands.
No neurovascular deficit.
Patient History
➢PRESENT MEDICAL HISTORY
Patient was brought to E.R by REDCRESCENT ambulance after he was involved in R.T.A with complaints of :
CARDIO VASCULAR
Absence Of Chest Pain Heart sounds are clear. Upon auscultation his Bp is 120/80mmof hg.
GENITO URINARY
Normal pubic hair
GASTRO INTESTINAL
HEAD AND NECK
Hair Is Equally Disrtibuted. Absence Of Dandruff.
EYES
Able to move both eyes
EARS
Patients pinna is same color as facial.
Able to hear sounds clearly .
❖ MULTIPLE LACERATED WOUNDS IN Rt LEG,PAIN IN RT WRIST,TENDERNESS
OVER LT KNEE.
Patient was diagnosed with comminuted fracture on tibial shaft rt leg.
➢PRESENT SURGICAL HISTORY
No discharges
NECK AND THROAT
Lips are pink but dry.
Teeth is properly aligned with no dentures.
No tenderness of node.
THORAX
The Thorax Is Symmetric On Inspection
Tibial shaft fracture
• The tibia is the larger bone in your lower leg. Tibial shaft fractures occur along the length of the bone.
Types of Tibial Shaft Fractures
No Tender Ness Of Abdomen and its soft .
MUSCULO SKELETAL
Unable To Mobilize His Lt Lower Limb. Has Pain During Examination. Tenderness at site of fracture
CASEPRESENTATIONONTIBIA LFRACTURE在胫骨骨折病例
报告
PHYSICAL ASSESMENT
GENERAL APPEARANCE
• Patient was drowsy for several minutes • Unable to mobilize his rt lower extremity.
40.1-51.0g\dl 4.63-6.08 *10^6/ul
163-337/ul 135-150 mmol/l 3.5-5.0mm0l/l 10.0-17.0sec 26.1-36.3sec 2.4theraputic
TREATMENT DONE FOR THE PATIENT
SURGICAL INTERVENTION_ EXTERNAL FIXATION OF RT TIBIA.
X-Ray skull ,chest ,hand and ankle 2. CT Scan (lumbosacral spine,lower extremity) 3.Blood investigations like
•PT INR •SERUM ELECTROLYTES •RH TYPING and ABO
No past history
Investigations Done For The Patient
Medications
IV FLUIDS
N.S 0.9%
Dextrose 5%
ANALGESICS • diclofenac 75mg im . • pethedine 50 mg im.
ANTIBIOTICS ▪inj . augmentin 1.2 gm iv tid ▪inj. flagyl 500mg iv bd ▪inj .amikacin 500mg iv bd
•CBC
LAB REPORTS
TEST on 17/12/12 CBC HB HCT RBC
RESULT
11.1g/dl 33.8g/dl 4.02
PLT
sodium pottassium PT APTT INR
RH typing
254
134 3.8 13.1 28.1 1.2
B+ve
REFERENCE RANGE 13.7-17.5g/dl
VITAL SIGNS OF THE PATIENT ARE
BP : 120/80 mm of hg
PR
:86/mt
RR :16/mt
SKIN
Skin is warm to touch.
Tenderness over rt ankle Laceration on rt toes Noted abrasions on rt lower limb.
The tibia can break in several ways. The severity of the fracture usually depends on the amount of force that caused the break. The fibula is
Lower extremity appear shortened
NEUROLOGIC
To Follow Commands.
No neurovascular deficit.
Patient History
➢PRESENT MEDICAL HISTORY
Patient was brought to E.R by REDCRESCENT ambulance after he was involved in R.T.A with complaints of :
CARDIO VASCULAR
Absence Of Chest Pain Heart sounds are clear. Upon auscultation his Bp is 120/80mmof hg.
GENITO URINARY
Normal pubic hair
GASTRO INTESTINAL
HEAD AND NECK
Hair Is Equally Disrtibuted. Absence Of Dandruff.
EYES
Able to move both eyes
EARS
Patients pinna is same color as facial.
Able to hear sounds clearly .
❖ MULTIPLE LACERATED WOUNDS IN Rt LEG,PAIN IN RT WRIST,TENDERNESS
OVER LT KNEE.
Patient was diagnosed with comminuted fracture on tibial shaft rt leg.
➢PRESENT SURGICAL HISTORY
No discharges
NECK AND THROAT
Lips are pink but dry.
Teeth is properly aligned with no dentures.
No tenderness of node.
THORAX
The Thorax Is Symmetric On Inspection
Tibial shaft fracture
• The tibia is the larger bone in your lower leg. Tibial shaft fractures occur along the length of the bone.
Types of Tibial Shaft Fractures
No Tender Ness Of Abdomen and its soft .
MUSCULO SKELETAL
Unable To Mobilize His Lt Lower Limb. Has Pain During Examination. Tenderness at site of fracture
CASEPRESENTATIONONTIBIA LFRACTURE在胫骨骨折病例
报告
PHYSICAL ASSESMENT
GENERAL APPEARANCE
• Patient was drowsy for several minutes • Unable to mobilize his rt lower extremity.
40.1-51.0g\dl 4.63-6.08 *10^6/ul
163-337/ul 135-150 mmol/l 3.5-5.0mm0l/l 10.0-17.0sec 26.1-36.3sec 2.4theraputic
TREATMENT DONE FOR THE PATIENT
SURGICAL INTERVENTION_ EXTERNAL FIXATION OF RT TIBIA.
X-Ray skull ,chest ,hand and ankle 2. CT Scan (lumbosacral spine,lower extremity) 3.Blood investigations like
•PT INR •SERUM ELECTROLYTES •RH TYPING and ABO