Trauma and Ortho Flashcards
Usual bug in septic A ?
What if prev replacement?
2 other RFs
staph Aureus
Staph epidermis
Intra articular injections
Rheum A
Diabetes
immunosupression
Where does supraspinatus attach to humerus
2 main imaging choices for supraspinatus
greater tubucle
USS/MRI
2 muscles supplied by the accessory nerve
trapezius
teres minor
Unconcious RTA brought in with spinal board and collar
Hear snoring like sound
Initial manoeuvre?
Initial airway adjunct?
Jaw thrust
[cant do head tilt chin lift as C spine unstable]
oropharyngeal [gudel]
[no NPA as possibility of basal skull fracture]
Trauma tachycardic and low BP
inital Mx
2 large bore cannula
IV fluid bolus
What GCS may airway not be maintained
<8
Post RTA suspect internal bleed what radiographs in resus room?
Further imaging needed after initial resus?
Chest / pelvis / c spine XR
CT head / abdo
Why is medial meniscus often damaged with MCL? Test for it?
tightly adheres to MCL
McMurray’s test
Op if displaced intracapsular # and disrupted blood supply?
Non disrupted?
Athroplasty - hemi/total
Internal fixation - nail/skrew
Collies What bone and where? What displacement and angular? Heal time? Difference in smiths?
distal metaphysis of radius
Dorsal displacement and angulation
6-8weeks
Volar displacement and angulation
How do you do a biers block?
arm is exsanguinated and torniquet is applied
local anaethetic given IV
torniquet removed after 20-30 mins
if surgery required what op for collies?
open reduction and internal/external fixation
3 comps of open fracture
infection / osteomyelitis compartment syndrome malunion DVT Nerve / vascular damage
End of spinal cord called?
what level? in newborn?
conus medularis
L2/3
L4/5
2 reasons for joint athroplasty in OA
reduced QOL
Not responding to non surgical Mx
