- Degloving injuries in horses often involve large areas of damaged skin and underlying tissue on the distal limbs, exposing bone or tendon.
- Initial treatment includes cleaning and debriding the wound under sedation or anesthesia. Broad-spectrum antimicrobials may be given and the wound should be dressed and drained.
- Primary closure is recommended when possible to aid healing, using a tension-relieving suture pattern to minimize tension on the skin edges without compromising drainage.
This study investigated the effects of instrument-assisted cross-fiber massage (IACFM) on the healing of medial collateral ligament (MCL) injuries in rats. Rats received either a short course of 9 IACFM treatments over 3 weeks or a longer course of 30 treatments over 10 weeks, applied to the injured left MCL only. At 4 and 12 weeks, the treated and untreated right MCLs were compared biomechanically and histologically. IACFM accelerated healing at 4 weeks as treated ligaments were stronger, stiffer, and absorbed more energy than untreated ligaments. Histology also showed improved collagen formation with IACFM. However, at 12 weeks there were minimal differences between treated and untreated lig
The document discusses the principles of managing compound fractures of the lower limb. It defines compound fractures as fractures where the broken bone communicates with an external wound. It describes the Gustillo classification system for open fractures based on wound size and soft tissue damage. Grade I fractures have a wound less than 1 cm while Grade III fractures have extensive soft tissue stripping. The key priorities in emergency management are resuscitation of the patient, assessment of limb vascularity and compartment syndrome, thorough wound debridement and splinting without reduction, and use of broad spectrum antibiotics. Surgical management involves thorough debridement of all devitalized soft tissues and temporary stabilization using external fixation to allow wound healing before definitive fixation.
The EsophyX device represents over a decade of innovative engineering design to achieve restoration of the antireflux barrier through a non-invasive surgical procedure. It functions as an extension of the surgeon's hand with proprietary fasteners to create a serosa-to-serosa fusion and reconstruct a full valve. Clinical studies show the EsophyX procedure results in a valve that rivals laparoscopic fundoplication with 85% of patients remaining off daily PPIs one year later and significant improvement in quality of life.
This study evaluated a new 3D implant designed for inguinal hernia repair without the need for fixation. The implant was tested in 25 patients undergoing open hernia repair. No complications occurred and no recurrences were reported after a mean follow-up of 7 months. Ultrasound scans showed the implant experienced very low shrinkage over time. The results suggest this dynamic, autostatic implant may provide an improved alternative to conventional static meshes by reducing the impact of fibrotic shrinkage. Larger studies with longer follow-up are still needed.
El documento discute el potencial de las tecnologías de la información y la comunicación (TIC) para mejorar la educación. Señala que las TIC ahora juegan un papel importante en la vida diaria, el trabajo y la búsqueda de información. Además, argumenta que la presencia de computadoras en los hogares y escuelas ha crecido exponencialmente y que la tecnología puede producir mejores resultados educativos si se utiliza de manera apropiada. Finalmente, sugiere que las TIC deben ser abordadas como un juego
The STaR Chart measures a school district's ability to provide technology for staff and students according to Texas Education Agency standards set by No Child Left Behind requirements. It aims to help teachers, schools, and districts meet technology goals outlined in the Long-Range Plan. The document discusses Anderson's results on the STaR Chart and provides a link to access the full Texas Campus STaR Chart online assessment tool.
Jane Dowd, the Chief Learning Officer at Northshore, discusses how learning helped pave the way to industry leadership. She outlines strategies for senior leadership to build an effective learning team, conduct needs assessments, and make the case for resources. The learning team, led by the CLO, then determines the best training methodology, such as "stealth OD" which involves using the language of the business and setting standards through senior leaders and respected users acting as change agents. This approach was applied to training professionals in operations, information systems, and medical informatics.
El documento discute el potencial de las tecnologías de la información y la comunicación (TIC) para mejorar la educación. Señala que las TIC ahora juegan un papel importante en la vida diaria, el trabajo y la búsqueda de información. Además, argumenta que la presencia de computadoras en los hogares y escuelas ha crecido exponencialmente y que la tecnología puede producir mejores resultados educativos si se utiliza de manera apropiada. Finalmente, sugiere que las TIC deben usarse como un juego para los
This study investigated the effects of instrument-assisted cross-fiber massage (IACFM) on the healing of medial collateral ligament (MCL) injuries in rats. Rats received either a short course of 9 IACFM treatments over 3 weeks or a longer course of 30 treatments over 10 weeks, applied to the injured left MCL only. At 4 and 12 weeks, the treated and untreated right MCLs were compared biomechanically and histologically. IACFM accelerated healing at 4 weeks as treated ligaments were stronger, stiffer, and absorbed more energy than untreated ligaments. Histology also showed improved collagen formation with IACFM. However, at 12 weeks there were minimal differences between treated and untreated lig
The document discusses the principles of managing compound fractures of the lower limb. It defines compound fractures as fractures where the broken bone communicates with an external wound. It describes the Gustillo classification system for open fractures based on wound size and soft tissue damage. Grade I fractures have a wound less than 1 cm while Grade III fractures have extensive soft tissue stripping. The key priorities in emergency management are resuscitation of the patient, assessment of limb vascularity and compartment syndrome, thorough wound debridement and splinting without reduction, and use of broad spectrum antibiotics. Surgical management involves thorough debridement of all devitalized soft tissues and temporary stabilization using external fixation to allow wound healing before definitive fixation.
The EsophyX device represents over a decade of innovative engineering design to achieve restoration of the antireflux barrier through a non-invasive surgical procedure. It functions as an extension of the surgeon's hand with proprietary fasteners to create a serosa-to-serosa fusion and reconstruct a full valve. Clinical studies show the EsophyX procedure results in a valve that rivals laparoscopic fundoplication with 85% of patients remaining off daily PPIs one year later and significant improvement in quality of life.
This study evaluated a new 3D implant designed for inguinal hernia repair without the need for fixation. The implant was tested in 25 patients undergoing open hernia repair. No complications occurred and no recurrences were reported after a mean follow-up of 7 months. Ultrasound scans showed the implant experienced very low shrinkage over time. The results suggest this dynamic, autostatic implant may provide an improved alternative to conventional static meshes by reducing the impact of fibrotic shrinkage. Larger studies with longer follow-up are still needed.
El documento discute el potencial de las tecnologías de la información y la comunicación (TIC) para mejorar la educación. Señala que las TIC ahora juegan un papel importante en la vida diaria, el trabajo y la búsqueda de información. Además, argumenta que la presencia de computadoras en los hogares y escuelas ha crecido exponencialmente y que la tecnología puede producir mejores resultados educativos si se utiliza de manera apropiada. Finalmente, sugiere que las TIC deben ser abordadas como un juego
The STaR Chart measures a school district's ability to provide technology for staff and students according to Texas Education Agency standards set by No Child Left Behind requirements. It aims to help teachers, schools, and districts meet technology goals outlined in the Long-Range Plan. The document discusses Anderson's results on the STaR Chart and provides a link to access the full Texas Campus STaR Chart online assessment tool.
Jane Dowd, the Chief Learning Officer at Northshore, discusses how learning helped pave the way to industry leadership. She outlines strategies for senior leadership to build an effective learning team, conduct needs assessments, and make the case for resources. The learning team, led by the CLO, then determines the best training methodology, such as "stealth OD" which involves using the language of the business and setting standards through senior leaders and respected users acting as change agents. This approach was applied to training professionals in operations, information systems, and medical informatics.
El documento discute el potencial de las tecnologías de la información y la comunicación (TIC) para mejorar la educación. Señala que las TIC ahora juegan un papel importante en la vida diaria, el trabajo y la búsqueda de información. Además, argumenta que la presencia de computadoras en los hogares y escuelas ha crecido exponencialmente y que la tecnología puede producir mejores resultados educativos si se utiliza de manera apropiada. Finalmente, sugiere que las TIC deben usarse como un juego para los
This document discusses the management of acute wounds. Key points include:
- Initial assessment focuses on life-threatening injuries before wound care. Local and systemic factors affecting healing are evaluated.
- Anesthesia is usually local, but general may be needed for significant wounds. Debridement removes dead tissue and foreign bodies to reduce infection risk. Irrigation uses nontoxic solutions.
- Wounds are closed immediately, delayed, or allowed to heal based on contamination risk. Appropriate closure depends on wound type. Dressings and prophylaxis are considered.
This document summarizes key points about lower-extremity ulcers:
1) Lower-extremity ulcers are common in elderly patients and those with conditions like diabetes, venous stasis, and peripheral arterial disease that impair wound healing.
2) Common factors that impair healing of lower-extremity ulcers include ischemia, age, and bacterial colonization.
3) It is important for surgeons to be involved in treating lower-extremity ulcers to address any anatomical issues or comorbidities preventing healing.
Casts are used to immobilize and support injured bones and joints. Potential complications include pressure ulcers, cast syndrome, infection, and impaired circulation. To prevent complications, casts must not be too tight and the patient's neurovascular status should be frequently monitored. Any signs of complications such as pain, odor, or skin changes require evaluation and treatment which may include cast removal or modification.
The document discusses various indications for amputation including peripheral vascular disease, trauma, burns, frostbite, infections and tumors. It provides details on evaluating each condition and determining whether amputation is necessary. For example, it states that for peripheral vascular disease, a vascular consultation is recommended to assess revascularization options before amputating. For trauma, scoring systems can help predict limb salvageability. Infection is another common reason, and different infectious etiologies require specific antibiotic and surgical treatments. Overall, the document offers guidance on the management and decision making for various conditions that may require amputation.
This document provides an overview of chronic osteomyelitis, including its definition, causative organisms, predisposing factors, pathology, clinical features, classification, diagnosis, treatment, and complications. Chronic osteomyelitis is a persistent bone infection that is usually caused by Staphylococcus aureus and often follows acute osteomyelitis or open fractures. It is characterized by infected dead bone surrounded by inflamed soft tissue. Treatment involves surgical debridement combined with long-term antibiotics to eliminate the infection. Complications can include exacerbations, growth abnormalities, fractures, and in rare cases, malignant transformation of the infected site.
1) The document describes a case of an intra-articular distal radius fracture with significant deformity and displacement seen on radiographs.
2) Several techniques are discussed for surgical treatment including mobilizing fracture fragments, using intact structures like the ulnar head to help rebuild support, and building the fracture back to the volar locking plate which can help achieve and maintain reduction.
3) Volar locked plating provides adequate stability for early range of motion rehabilitation and typically leads to excellent healing and functional outcomes, though care must be taken to ensure the locking screws are placed just below the subchondral bone to avoid joint penetration.
This document discusses the management of burst abdomens, also known as abdominal wound dehiscence. It defines abdominal wound dehiscence and provides information on incidence, risk factors, clinical manifestations, and treatment options. Dehiscence occurs when an abdominal wound separates after surgery, with a reported incidence between 0.2-6% and mortality rates of 10-40%. Risk factors include male sex, age under 45, emergency surgery, obesity, and medical conditions like diabetes or renal failure. Treatment depends on the severity but may involve re-suturing the wound with retention sutures or using a prosthetic mesh if the wound cannot be primarily closed.
The document provides information about various eye, throat, and immune system problems, as well as musculoskeletal problems. For each system, specific disorders are enumerated and described. One problem from each system is then selected and a nursing care plan is provided using the nursing diagnosis, objectives of care, nursing interventions, and rationale format. The care plan example provided is for a patient with glaucoma involving the eyes, pharyngitis involving the throat, lupus erythematosus involving the immune system, and a herniated disk involving the musculoskeletal system.
1. The document summarizes the principles and practice of open fracture care, including debridement and lavage of the wound, early stable internal fixation of the bone, and reconstruction of soft tissues to prevent infection.
2. It discusses that open fractures expose the bone to contamination and complicate reconstruction with soft tissue injury as well, requiring specialists. The goal of treatment is to prevent contamination from developing into infection through proper surgical management.
3. Key aspects of surgical management are thorough debridement to remove non-viable tissue, profuse lavage to reduce bacteria, stable fixation to allow soft tissue healing, and reconstructing soft tissues to protect the injury from infection.
The document provides an overview of hand trauma, including mechanisms of injury, approaches to patients, and management of various structural injuries like cutaneous injuries, tendon injuries, nerve injuries, bone injuries, and amputation and replantation. It outlines the anatomy, typical presentations, and treatment approaches for each type of injury. For example, it describes that extensor tendon injuries are divided into zones and discusses the presentations and management depending on the zone. The document emphasizes the importance of thorough history, physical exam, and imaging to properly diagnose hand injuries and optimize outcomes through appropriate treatment.
This document discusses different types of sutures used in dentistry and surgery. It begins by introducing that sutures are commonly used to approximate wound edges after surgery or trauma. Sutures can be classified based on number of filaments (monofilament or multi-filament), source (natural or synthetic), and absorbability (absorbable or non-absorbable). The document then discusses specific suture materials, properties, tissue reactions, degradation processes, and recommended uses for different suture types. It emphasizes that suture selection depends on factors like required longevity, anatomical location, and tissue characteristics.
Chronic osteomyelitis is a bone infection that often develops after trauma or surgery and can become long-lasting. It is caused by bacteria like Staphylococcus aureus entering bone via trauma, implants, or poor circulation. Chronic osteomyelitis is characterized by bone necrosis, inflammatory reaction, abscess formation, and reactive new bone growth forming an involucrum around dead bone (sequestrum). Treatment involves long-term antibiotics combined with surgical debridement of infected and dead tissue, possible bone grafting, and soft tissue coverage to fully clear the infection.
FRACTURE PPT (ORTHOPAEDIC) ALL BASIC INFORMATIONBhumikaThakor1
1. A fracture is a disruption of bone continuity that can be complete or incomplete. It is defined by its type and extent.
2. Fractures are commonly caused by trauma or injury to the bone from falls, impacts, or stresses. They are diagnosed through history, physical exam, x-rays, CT scans, or MRI scans.
3. Treatment involves reduction to realign the bone fragments followed by immobilization using casts, splints, traction, or internal/external fixation. Nursing care focuses on pain management, preventing complications, and maintaining function and mobility.
FRACTURE
DEFINITION
CAUSES
TYPES
CLASSIFICATION
SIGN AND SYMPTOMS
5 P
CARE
NURSES ROLE
SPLINT
SLING
NONINVASIVE METHODS
PHARMACOLOGY METHOD
SURGERY
NURSING DIAGNOSIS
Management of soft tissue injuries in facial traumaAhmed Adawy
Management of soft tissue injuries in facial trauma
Dr. Ahmed M. Adawy.
Professor Emeritus, Dept. Oral & Maxillofacial Surg.
Former Dean, Faculty of Dental Medicine, Al-Azhar University.
Soft-tissue injuries are the most common presentation following maxillofacial trauma. In general, injuries can initially be classified as open or closed wounds. A closed wound is one that damages underlying tissue and/or structures without breaking the skin. Examples of closed wounds include hematomas, contusions, and crush injuries. In contrast, open wounds involve a break in the skin, which exposes the underlying structures to the external environment. Open wounds include simple and complex lacerations, avulsions, punctures, abrasions, accidental tattooing, and retained foreign body. Detailed description of management is presented. The principles of repair is discussed.
1. The document discusses normal wound healing which occurs in three phases - inflammatory, proliferative, and remodeling. The inflammatory phase begins immediately after injury and lasts 2-3 days.
2. It also discusses abnormal wound healing such as delayed healing and discusses managing acute wounds which involves thorough debridement to remove all contaminated and devitalized tissue.
3. The document provides details on the classification of wounds as tidy or untidy and discusses various types of wounds like bites, puncture wounds, and degloving injuries as well as their management.
Fracture Lecture 2/4 (General Notes)
(Human anatomy)
by DR RAI M. AMMAR
www.facebook.com/drraiammar
www.twitter.com/drraiammar
www.instagram.com/drraiammar
www.linkedin.com/in/drraiammar
www.themedicall.com/blog/auther/drraiammar/
For Any Book or Notes Visit Our Website:
www.allmedicaldata.wordpress.com
www.drraiammar.blogspot.com
YOUTUBE CHANNEL :
https://www.youtube.com/channel/UCu-oR9V3OdFNTJW5yqXWXxA
ANY QUESTION ??
Get in touch with us at Any of the Above Social Media or Email at
drraiammar@gmail.com
allmedicaldata@gmail.com
1) A fracture is a break in the bone that can range from a crack to a complete break with bone fragments displaced. Closed fractures involve an intact skin surface while open fractures breach the skin or a body cavity.
2) Treatment of fractures involves three phases - emergency care, definitive care, and rehabilitation. Emergency care focuses on splinting, RICE therapy, and stabilizing the patient. Definitive care includes reducing the fracture, using various methods to hold the reduction in place, and early mobilization.
3) Management of closed fractures generally prioritizes the patient's general condition first before addressing the fracture. Methods to hold a closed fracture in place include casting, traction, internal fixation, external
[TRAUMATOLOGY] SOFT TISSUE MANAGEMENT AND RECONSTRUCTION IN ORTHOPAEDICS EMER...Bethwell Radiro
1. Open fractures involve damage to both the bone and surrounding soft tissues, while closed fractures only involve bone damage.
2. Early accurate debridement of traumatic wounds within 24 hours is the most important procedure for managing open lower limb fractures. This involves excising all devitalized tissue.
3. Antibiotics should be administered as soon as possible and surgical debridement and skeletal stabilization is typically performed by orthopaedic and plastic surgeons together within 24 hours, unless there is significant contamination.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Pave ecfvg+program+2+semesters+01-13-2011Minakata Jin
The LSU 2 semester clinical training program provides PAVE/ECFVG candidates hands-on training in various veterinary specialties like surgery, medicine, equine medicine and more. The program aims to help candidates gain clinical experience in a North American setting, improve communication skills, and prepare for the Clinical Proficiency Exam. Trainees will complete rotations in 11 core disciplines over 24 weeks and can choose 2 elective rotations. The program accepts candidates meeting criteria like an accredited DVM degree and English fluency. Trainees pay standard out-of-state tuition and are evaluated regularly.
Ms course credit+hour_requirements_2009Minakata Jin
All master's students must complete 30 credit hours including a minimum of 12 hours at the 7000 level or above, 10 hours in VCS courses, 6 hours of research/thesis credit, a maximum of 4 hours can be a seminar course and 8 hours can be special topics courses. They must also take a minimum of 8 hours of non-VCS courses and pass a final exam and thesis to graduate.
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Similar to Pv0811 elce degloving injuries in horse -initial treatment
This document discusses the management of acute wounds. Key points include:
- Initial assessment focuses on life-threatening injuries before wound care. Local and systemic factors affecting healing are evaluated.
- Anesthesia is usually local, but general may be needed for significant wounds. Debridement removes dead tissue and foreign bodies to reduce infection risk. Irrigation uses nontoxic solutions.
- Wounds are closed immediately, delayed, or allowed to heal based on contamination risk. Appropriate closure depends on wound type. Dressings and prophylaxis are considered.
This document summarizes key points about lower-extremity ulcers:
1) Lower-extremity ulcers are common in elderly patients and those with conditions like diabetes, venous stasis, and peripheral arterial disease that impair wound healing.
2) Common factors that impair healing of lower-extremity ulcers include ischemia, age, and bacterial colonization.
3) It is important for surgeons to be involved in treating lower-extremity ulcers to address any anatomical issues or comorbidities preventing healing.
Casts are used to immobilize and support injured bones and joints. Potential complications include pressure ulcers, cast syndrome, infection, and impaired circulation. To prevent complications, casts must not be too tight and the patient's neurovascular status should be frequently monitored. Any signs of complications such as pain, odor, or skin changes require evaluation and treatment which may include cast removal or modification.
The document discusses various indications for amputation including peripheral vascular disease, trauma, burns, frostbite, infections and tumors. It provides details on evaluating each condition and determining whether amputation is necessary. For example, it states that for peripheral vascular disease, a vascular consultation is recommended to assess revascularization options before amputating. For trauma, scoring systems can help predict limb salvageability. Infection is another common reason, and different infectious etiologies require specific antibiotic and surgical treatments. Overall, the document offers guidance on the management and decision making for various conditions that may require amputation.
This document provides an overview of chronic osteomyelitis, including its definition, causative organisms, predisposing factors, pathology, clinical features, classification, diagnosis, treatment, and complications. Chronic osteomyelitis is a persistent bone infection that is usually caused by Staphylococcus aureus and often follows acute osteomyelitis or open fractures. It is characterized by infected dead bone surrounded by inflamed soft tissue. Treatment involves surgical debridement combined with long-term antibiotics to eliminate the infection. Complications can include exacerbations, growth abnormalities, fractures, and in rare cases, malignant transformation of the infected site.
1) The document describes a case of an intra-articular distal radius fracture with significant deformity and displacement seen on radiographs.
2) Several techniques are discussed for surgical treatment including mobilizing fracture fragments, using intact structures like the ulnar head to help rebuild support, and building the fracture back to the volar locking plate which can help achieve and maintain reduction.
3) Volar locked plating provides adequate stability for early range of motion rehabilitation and typically leads to excellent healing and functional outcomes, though care must be taken to ensure the locking screws are placed just below the subchondral bone to avoid joint penetration.
This document discusses the management of burst abdomens, also known as abdominal wound dehiscence. It defines abdominal wound dehiscence and provides information on incidence, risk factors, clinical manifestations, and treatment options. Dehiscence occurs when an abdominal wound separates after surgery, with a reported incidence between 0.2-6% and mortality rates of 10-40%. Risk factors include male sex, age under 45, emergency surgery, obesity, and medical conditions like diabetes or renal failure. Treatment depends on the severity but may involve re-suturing the wound with retention sutures or using a prosthetic mesh if the wound cannot be primarily closed.
The document provides information about various eye, throat, and immune system problems, as well as musculoskeletal problems. For each system, specific disorders are enumerated and described. One problem from each system is then selected and a nursing care plan is provided using the nursing diagnosis, objectives of care, nursing interventions, and rationale format. The care plan example provided is for a patient with glaucoma involving the eyes, pharyngitis involving the throat, lupus erythematosus involving the immune system, and a herniated disk involving the musculoskeletal system.
1. The document summarizes the principles and practice of open fracture care, including debridement and lavage of the wound, early stable internal fixation of the bone, and reconstruction of soft tissues to prevent infection.
2. It discusses that open fractures expose the bone to contamination and complicate reconstruction with soft tissue injury as well, requiring specialists. The goal of treatment is to prevent contamination from developing into infection through proper surgical management.
3. Key aspects of surgical management are thorough debridement to remove non-viable tissue, profuse lavage to reduce bacteria, stable fixation to allow soft tissue healing, and reconstructing soft tissues to protect the injury from infection.
The document provides an overview of hand trauma, including mechanisms of injury, approaches to patients, and management of various structural injuries like cutaneous injuries, tendon injuries, nerve injuries, bone injuries, and amputation and replantation. It outlines the anatomy, typical presentations, and treatment approaches for each type of injury. For example, it describes that extensor tendon injuries are divided into zones and discusses the presentations and management depending on the zone. The document emphasizes the importance of thorough history, physical exam, and imaging to properly diagnose hand injuries and optimize outcomes through appropriate treatment.
This document discusses different types of sutures used in dentistry and surgery. It begins by introducing that sutures are commonly used to approximate wound edges after surgery or trauma. Sutures can be classified based on number of filaments (monofilament or multi-filament), source (natural or synthetic), and absorbability (absorbable or non-absorbable). The document then discusses specific suture materials, properties, tissue reactions, degradation processes, and recommended uses for different suture types. It emphasizes that suture selection depends on factors like required longevity, anatomical location, and tissue characteristics.
Chronic osteomyelitis is a bone infection that often develops after trauma or surgery and can become long-lasting. It is caused by bacteria like Staphylococcus aureus entering bone via trauma, implants, or poor circulation. Chronic osteomyelitis is characterized by bone necrosis, inflammatory reaction, abscess formation, and reactive new bone growth forming an involucrum around dead bone (sequestrum). Treatment involves long-term antibiotics combined with surgical debridement of infected and dead tissue, possible bone grafting, and soft tissue coverage to fully clear the infection.
FRACTURE PPT (ORTHOPAEDIC) ALL BASIC INFORMATIONBhumikaThakor1
1. A fracture is a disruption of bone continuity that can be complete or incomplete. It is defined by its type and extent.
2. Fractures are commonly caused by trauma or injury to the bone from falls, impacts, or stresses. They are diagnosed through history, physical exam, x-rays, CT scans, or MRI scans.
3. Treatment involves reduction to realign the bone fragments followed by immobilization using casts, splints, traction, or internal/external fixation. Nursing care focuses on pain management, preventing complications, and maintaining function and mobility.
FRACTURE
DEFINITION
CAUSES
TYPES
CLASSIFICATION
SIGN AND SYMPTOMS
5 P
CARE
NURSES ROLE
SPLINT
SLING
NONINVASIVE METHODS
PHARMACOLOGY METHOD
SURGERY
NURSING DIAGNOSIS
Management of soft tissue injuries in facial traumaAhmed Adawy
Management of soft tissue injuries in facial trauma
Dr. Ahmed M. Adawy.
Professor Emeritus, Dept. Oral & Maxillofacial Surg.
Former Dean, Faculty of Dental Medicine, Al-Azhar University.
Soft-tissue injuries are the most common presentation following maxillofacial trauma. In general, injuries can initially be classified as open or closed wounds. A closed wound is one that damages underlying tissue and/or structures without breaking the skin. Examples of closed wounds include hematomas, contusions, and crush injuries. In contrast, open wounds involve a break in the skin, which exposes the underlying structures to the external environment. Open wounds include simple and complex lacerations, avulsions, punctures, abrasions, accidental tattooing, and retained foreign body. Detailed description of management is presented. The principles of repair is discussed.
1. The document discusses normal wound healing which occurs in three phases - inflammatory, proliferative, and remodeling. The inflammatory phase begins immediately after injury and lasts 2-3 days.
2. It also discusses abnormal wound healing such as delayed healing and discusses managing acute wounds which involves thorough debridement to remove all contaminated and devitalized tissue.
3. The document provides details on the classification of wounds as tidy or untidy and discusses various types of wounds like bites, puncture wounds, and degloving injuries as well as their management.
Fracture Lecture 2/4 (General Notes)
(Human anatomy)
by DR RAI M. AMMAR
www.facebook.com/drraiammar
www.twitter.com/drraiammar
www.instagram.com/drraiammar
www.linkedin.com/in/drraiammar
www.themedicall.com/blog/auther/drraiammar/
For Any Book or Notes Visit Our Website:
www.allmedicaldata.wordpress.com
www.drraiammar.blogspot.com
YOUTUBE CHANNEL :
https://www.youtube.com/channel/UCu-oR9V3OdFNTJW5yqXWXxA
ANY QUESTION ??
Get in touch with us at Any of the Above Social Media or Email at
drraiammar@gmail.com
allmedicaldata@gmail.com
1) A fracture is a break in the bone that can range from a crack to a complete break with bone fragments displaced. Closed fractures involve an intact skin surface while open fractures breach the skin or a body cavity.
2) Treatment of fractures involves three phases - emergency care, definitive care, and rehabilitation. Emergency care focuses on splinting, RICE therapy, and stabilizing the patient. Definitive care includes reducing the fracture, using various methods to hold the reduction in place, and early mobilization.
3) Management of closed fractures generally prioritizes the patient's general condition first before addressing the fracture. Methods to hold a closed fracture in place include casting, traction, internal fixation, external
[TRAUMATOLOGY] SOFT TISSUE MANAGEMENT AND RECONSTRUCTION IN ORTHOPAEDICS EMER...Bethwell Radiro
1. Open fractures involve damage to both the bone and surrounding soft tissues, while closed fractures only involve bone damage.
2. Early accurate debridement of traumatic wounds within 24 hours is the most important procedure for managing open lower limb fractures. This involves excising all devitalized tissue.
3. Antibiotics should be administered as soon as possible and surgical debridement and skeletal stabilization is typically performed by orthopaedic and plastic surgeons together within 24 hours, unless there is significant contamination.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
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The LSU 2 semester clinical training program provides PAVE/ECFVG candidates hands-on training in various veterinary specialties like surgery, medicine, equine medicine and more. The program aims to help candidates gain clinical experience in a North American setting, improve communication skills, and prepare for the Clinical Proficiency Exam. Trainees will complete rotations in 11 core disciplines over 24 weeks and can choose 2 elective rotations. The program accepts candidates meeting criteria like an accredited DVM degree and English fluency. Trainees pay standard out-of-state tuition and are evaluated regularly.
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All master's students must complete 30 credit hours including a minimum of 12 hours at the 7000 level or above, 10 hours in VCS courses, 6 hours of research/thesis credit, a maximum of 4 hours can be a seminar course and 8 hours can be special topics courses. They must also take a minimum of 8 hours of non-VCS courses and pass a final exam and thesis to graduate.
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This document outlines the guidelines for graduate programs in the Department of Veterinary Clinical Sciences at Louisiana State University. It provides information on the Master of Science and Doctor of Philosophy degree programs offered, including qualifications for admission, registration procedures, academic requirements, and policies regarding coursework, research, committees, and time to degree completion. The handbook is intended to supplement the general graduate catalog and provide veterinary clinical sciences graduate students and faculty with program-specific policies and procedures.
Ecfvg+program+1+semester+01 13-2011+ 2-Minakata Jin
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Topic guide to the preliminary examinationMinakata Jin
The document provides a topic guide for a preliminary examination consisting of 3 papers. Paper 1 focuses on companion animals and allocates approximately 50% of questions to clinical medicine, 40% to surgery, and 10% to reproduction. Paper 2 covers agricultural animals, dividing questions among clinical medicine, surgery, reproduction, flock/herd health, and epidemiology. Paper 3 addresses public health, microbiology, pathology, and infectious diseases.
The first document summarizes a study comparing the usefulness of various diagnostic tests for feline infectious peritonitis (FIP), including analysis of effusions, serum protein electrophoresis, alpha1- acid glycoprotein (AGP), anti-FCoV serology, and immunohistochemistry. It found that AGP was the only test in complete concordance with immunohistochemistry, the gold standard, though more research is needed on AGP. The second document reviews options for treating hip dysplasia in dogs, including exercise restriction, weight control, analgesics, surgery such as triple pelvic osteotomy, and total hip replacement. It notes that more long-term studies are needed to evaluate treatment options.
Pv0811 stern revised african horse sicknessMinakata Jin
African horse sickness (AHS) is a highly fatal, arthropod-borne viral disease of horses and other equids. It is caused by the African horse sickness virus (AHSV) which is transmitted by biting midges (Culicoides spp.). There are four clinical forms: pulmonary, cardiac, mixed, and horse sickness fever. The pulmonary form causes respiratory distress and edema, often resulting in death within hours. The cardiac form causes edema of the head and neck regions and has a 50-70% mortality rate. Diagnosis is based on clinical signs, pathology, and ruling out other diseases. There is no treatment for AHS. Prevention relies on controlling insect vectors and restricting animal movement during outbreaks.
Pv0811 werner ce_blastomycosis-10-8-2011Minakata Jin
This document discusses blastomycosis, a fungal infection caused by Blastomyces dermatitidis. It is most common in dogs and humans in certain Midwestern and southern states in the US. Clinical signs in dogs include respiratory signs, skin lesions, and disseminated disease affecting multiple organs is possible. Diagnosis involves cytology, culture, serology or PCR on samples. Treatment involves antifungal medications. A vaccine is being researched but not yet available.
Pv0811 wsava nutrition assessment guideline_10-8-2011Minakata Jin
This document provides guidelines for veterinarians to incorporate nutritional assessments as the 5th vital sign in evaluating small animals. A screening evaluation should be done on all patients to identify any nutritional risk factors. An extended evaluation is then recommended if risk factors are present. The guidelines aim to raise awareness of the importance of nutrition to health, provide criteria for nutritional evaluation, and recommend interpretations and plans to optimize pets' nutritional status.
Lepto handout client 3 so your dog has leptospirosisMinakata Jin
Leptospirosis is a bacterial disease that affects both humans and animals. If your dog has been confirmed or suspected to have leptospirosis, take precautions like avoiding direct contact with your dog's urine, keeping your dog away from standing water while urinating, and washing your hands after contact. Seek medical attention if you or family members become ill around the same time as your dog's diagnosis. To help prevent leptospirosis, have your pets vaccinated, avoid contact with animal urine or fluids, and do not swim or walk in water contaminated by animal urine.
Increased liver enzyme activity in a dogMinakata Jin
1) A 9-year-old neutered male Labrador retriever was referred for increased liver enzymes. Physical examination and diagnostic testing found no other abnormalities.
2) A liver biopsy showed chronic hepatitis with bridging fibrosis and elevated copper levels, indicating copper-associated chronic hepatitis.
3) Treatment included a hepatic support diet low in copper, zinc supplementation, ursodiol, SAMe, and penicillamine to reduce copper levels. Regular monitoring was needed to assess treatment response.
Proper nutrition is essential for a cat's health and long life. Cats require a diet high in protein and fat from meat sources, as dog or people food lack necessary nutrients. When choosing cat food, look for a name brand with an AAFCO statement and avoid people food, chocolate, onions, and other unsafe items. Overfeeding can lead to obesity and health issues, so free-feeding dry food is not recommended and portions should maintain a healthy weight.
Dogs require a balanced diet for optimal health and longevity. They are omnivores and can eat both meat and plants as their primary food sources. When choosing a dog food, look for one that underwent AAFCO feeding trials and consult your veterinarian for a recommendation. Homemade or raw diets require guidance from a veterinary nutritionist to ensure they are balanced. Table scraps and treats should be limited to prevent weight gain or allergic reactions.
Cb july 11 web 3 navc clinician brief july 2011 capsuleMinakata Jin
The document discusses the concept of One Health and its goal of advancing understanding, prevention, and treatment of zoonotic diseases through collaboration between human and veterinary medicine. It provides a brief history of how veterinary and human medicine were more closely intertwined in the past and have become more separated, and advocates for renewed collaboration through the One Health initiative to address modern zoonotic disease threats. The document also outlines specific ways that veterinarians can promote One Health through partnerships with physicians and other efforts.
This document is an advertisement for a program that claims to teach 5000 collegiate words through listening to audio lessons for 15 minutes a day for 4 weeks. It includes sample words like "abase", "abbot", and "abdicate" along with brief definitions. The program is offered on 7 CDs and also includes a free memory course.
This document is an application for re-accreditation of the radiation oncology residency training program at Cornell University. It provides details about the program director, residents, faculty, facilities, caseload, curriculum, and evaluation procedures. The goal of the program is to train residents to become board certified in radiation oncology through clinical training, coursework, conferences, and research over a 24 month period.
This article discusses mentoring from the perspective of a former mentee. It defines mentoring as a senior colleague taking an active role in developing a junior colleague by providing advice and contacts to help them progress in their career. For pathology residents, mentors facilitate the transformation from student to pathologist through residency training. The mentee can benefit from having multiple mentors, including their primary faculty mentor, secondary mentors at collaborating institutions, and tertiary mentors in professional organizations. Interacting with different mentors exposes mentees to diverse styles and enriches their skill development.
2011 junecb managementtreeendocrinologyMinakata Jin
This document provides guidelines for trilostane treatment of canine pituitary-dependent hyperadrenocorticism. It recommends starting trilostane at 2 mg/kg every 24 hours or 1 mg/kg every 12 hours. Clinical response and ACTH stimulation test results after 10-14 days determine if the dose should be decreased, maintained, or increased. The ACTH stimulation test should check cortisol levels 4-6 hours after administration and the results should fall within an ideal range provided by the reference laboratory.
This diagnostic tree provides guidance for evaluating and diagnosing cases of acute renal failure in dogs. It outlines key factors to consider in the animal's history and clinical signs. It then describes the initial diagnostic tests to perform and how to use their results to determine if the cause is intrinsic renal failure, prerenal azotemia, or postrenal azotemia. Additional diagnostics such as abdominal ultrasound, urine culture, renal biopsy, or radiographic tests are recommended as next steps to further localize the site of obstruction or rule out other underlying diseases. The tree also provides guidance on treatment based on the final diagnosis.
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...TechSoup
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Post init hook in the odoo 17 ERP ModuleCeline George
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Creative Restart 2024: Mike Martin - Finding a way around “no”Taste
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إضغ بين إيديكم من أقوى الملازم التي صممتها
ملزمة تشريح الجهاز الهيكلي (نظري 3)
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تتميز هذهِ الملزمة بعِدة مُميزات :
1- مُترجمة ترجمة تُناسب جميع المستويات
2- تحتوي على 78 رسم توضيحي لكل كلمة موجودة بالملزمة (لكل كلمة !!!!)
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3- دقة الكتابة والصور عالية جداً جداً جداً
4- هُنالك بعض المعلومات تم توضيحها بشكل تفصيلي جداً (تُعتبر لدى الطالب أو الطالبة بإنها معلومات مُبهمة ومع ذلك تم توضيح هذهِ المعلومات المُبهمة بشكل تفصيلي جداً
5- الملزمة تشرح نفسها ب نفسها بس تكلك تعال اقراني
6- تحتوي الملزمة في اول سلايد على خارطة تتضمن جميع تفرُعات معلومات الجهاز الهيكلي المذكورة في هذهِ الملزمة
واخيراً هذهِ الملزمة حلالٌ عليكم وإتمنى منكم إن تدعولي بالخير والصحة والعافية فقط
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2. Degloving Injuries in Horses: Initial Treatment
The injury should always wound closure greatly in-
be examined in detail to creases the chance of suc-
ensure that synovial cavities cessful closure. Alternating
or flexor tendons are not tension-relieving patterns
involved; involvement of with a simple interrupted
these structures requires re- pattern or short runs of a
ferral to an equine hospital simple continuous pattern
for treatment beyond su- reduces the amount of su-
perficial wound care. After ture in the wound while
water-soluble jelly or moist relieving tension in the skin.
gauze is placed in the wound A tension-relieving pattern
to prevent further contam- can be chosen based on
ination, the hair around the personal preference. Stents
wound edge can be clipped can be incorporated to help
(FIGURE 1). The wound should distribute pressure and pre-
be lavaged with sterile iso- vent the suture from cutting
tonic fluid such as saline or through the skin. Stents can
FIGURE 1. A degloving laceration of a hindlimb lactated Ringer solution. be cut to size from rubber
FIGURE 2. The laceration in Figure 1 after
showing severed extensor tendons and an Substances that can be toxic tubing, Penrose drains, or debridement and primary repair. Note the
exposed cannon bone. Sterile lubricating jelly to tissues (e.g., nitrofura- extension sets. One tension- extensive meshing of the skin on both sides
has been placed in the wound while the zone, undiluted povidone– relieving technique is to of the repair to relieve tension and provide
surrounding hair is clipped. (Courtesy of Dr. drainage. Tension-relieving mattress sutures
iodine) are not recom- mesh the skin using full-
Margaret Mudge) with tubing as stent can also be seen.
mended. The addition of thickness stab incisions in
(Courtesy of Dr. Margaret Mudge)
antibiotics or antiseptics to staggered rows parallel to the
fluid therapy is not strongly recommended because the efficacy of edges of the skin (FIGURE 2).
these additions is doubtful.5,6 Any additives should be extremely This allows expansion of the skin, relief of tension, and good
dilute because concentrated solutions have been shown to be drainage of these often-contaminated wounds. In addition,
toxic to cells.5–7 Excessive pressure may drive contaminants into meshing of the skin can prevent formation of a large subcutaneous
deeper tissue. Lavage using a 60-mL syringe and an 18-gauge hematoma or seroma that could mechanically separate the skin
needle achieves ideal pressure but is time-consuming; constant from underlying tissue. Theoretically, it would be preferred to
lavage through an 18-gauge needle attached to a fluid set and a mesh the skin on either side of the wound to avoid causing further
1-L bag of fluids is appropriate, and the bag can be easily held by vascular compromise to the skin flap in the wound. However,
an untrained assistant. Use of a dental water jet has also been this is often not possible, and meshing of the skin flap represents
described for providing pulsatile lavage.8 a viable and practical alternative, accomplishing many goals
Highly contaminated tissue can be sharply excised. Large simultaneously. If a large subcutaneous dead space is present, a
blood vessels can be ligated. The ends of extensor tendons can be Penrose or closed suction drain should be placed unless the skin
debrided by simple excision of a small portion of the free end. If is meshed.
periosteum is missing or bone is scored, the area can be gently Portions of devitalized extensor tendons may become chronically
debrided with a curette or bone rasp. The edges of the skin can be infected and behave similar to bony sequestra, preventing complete
freshened by sharp removal of a thin edge. Obviously dead skin healing, causing persistent drainage, and resulting in unhealthy
should be removed; otherwise, as much skin as possible should granulation tissue. Therefore, exposed edges of extensor tendon
be left intact and removed later, if necessary. should be debrided during initial treatment. Exposure of bone—
Even when skin is expected to die, it can be sutured to provide especially disruption of periosteum or scoring of bone—by a
a biologic bandage until it has died. Suturing decreases the ten- degloving injury should also be considered a risk for develop-
dency of the flap to contract. By the time that nonviable skin is ment of a sequestrum. Disruption of the blood supply as well as
ready to slough or be removed, granulation tissue may be present infection must be present for a sequestrum to develop. Clinical
under the skin. If tendon or bone is exposed, protecting it with signs of a sequestrum can appear 4 to 8 weeks after injury; the
skin until granulation tissue forms can help keep it clean and client should be informed of this at the initial examination. To
moist. However, the client should be informed that the repair help prevent sequestrum development, damaged bone or tendon
will appear to fail. The edges of the skin should be apposed in a ends should be debrided at initial treatment.
tension-relieving pattern using large-gauge, monofilament, non- Bandaging or casting is important during initial treatment,
absorbable suture (0, 1, or 2, depending on the patient’s size and but bandaging may be overused thereafter. Casts or cast bandages
the thickness of the skin). Various techniques can be used to can enhance initial healing by (1) decreasing motion in areas
relieve tension in the skin. Adequately relieving tension during where there is tension on the wound edges or (2) being used instead
Vetlearn.com | August 2011 | Compendium: Continuing Education for Veterinarians® E2
3. Degloving Injuries in Horses: Initial Treatment
of splints when extensor used to facilitate closure. It is difficult to return the skin to its
Suggested Reading tendon function has been original position without excessive tension even if no skin has been
lost. Bandages are used to lost. Ventral wounds are prone to formation of seromas or hema-
• Articles on wound management in prevent impediments to tomas after repair, possibly compromising the viability of the
The Veterinary Clinics of North healing, such as contami- repair by separating the skin from underlying tissue and increasing
America: Equine Practice 2005;21. tension in the skin. Use of an abdominal bandage can help prevent
nation after treatment and
• Equine Wound Management. formation of edema or a this but may hold purulent discharge against the skin. If used,
2nd ed. Stashak TS, Theoret CL, hematoma.7 Once granula- abdominal bandages must be changed daily to prevent maceration of
eds. Hoboken, NJ: Wiley-Blackwell; tion tissue has formed and the skin due to excessive moisture. All of these factors can make
2009. important underlying struc- repair difficult. Therefore, providing ventral drainage and relieving
tures are covered, bandages tension on the skin are very important.
may no longer be necessary Several techniques can help manage abdominal degloving in-
and may promote excessive formation of granulation tissue.6 juries. Once the skin and tissue have been cleaned and debrided,
Primary closure results in a more cosmetic outcome; however, if the skin flap can be extensively meshed using a #10 scalpel blade.
it cannot be achieved, various types of skin grafts can be used This can greatly expand the skin flap and provide adequate drain-
immediately or in the future to speed healing and reduce scar or age along the entire wound. An alternative method is to use a
fibrotic tissue formation.9 walking suture pattern to attach the skin flap to the underlying
tissue along the length of the skin flap, gradually moving the edge
Other Degloving Injuries of the skin flap toward the intact edge of skin. Drains should be
While many degloving injuries occur on the distal limbs, other placed at various intervals to allow drainage from a contaminat-
areas of the body can be affected. The difference in healing between ed wound, and tacking sutures can help resolve dead space. Oth-
wounds on the distal limbs, proximal limbs, and body is well estab- er methods can be used if they reduce tension on the skin and
lished.10,11 Because of basic physiologic differences in wound healing, encourage drainage. The patient’s movement should be restricted
wounds on the body and proximal limbs of horses are better able to help prevent dehiscence during healing.
to contract and heal without excessive granulation tissue.10 The
front of the chest and the shoulders of horses are prone to degloving Proximal Limb Injuries
injuries. Large degloving injuries of the ventral or lateral abdomen Degloving injuries regularly occur on the front of the shoulders
can occur when horses fall or try to jump an obstacle. and chest. These high-motion areas are prone to dead-space
When assessing proximally located wounds, it is important to accumulations and loss of serum or blood. Therefore, owners
determine whether underlying structures (e.g., joints, peritoneal should be informed that although repairs of high-motion areas
cavity, brachial plexus, mediastinum) have been affected and to are prone to repeated failure, healing is commonly successful. In the
administer broad-spectrum systemic antimicrobials (in most cases) initial healing period, exercise restriction is important regardless
to prevent infection of important underlying structures. Although of the method of repair. Reducing tension in the skin and providing
degloving injuries are treated in a similar fashion regardless of adequate drainage are crucial to successful wound repair. Achieving
their location, there are some important differences when proximally these goals with any degloving injury can reduce the healing time
located wounds are treated. Large wounds on the abdomen and and enhance the quality of the repair compared with healing by
chest wall can involve muscle, resulting in substantial loss of serum; second intention, which may require more time for full return to
therefore, affected patients should be monitored for protein loss. function. The use of vacuum-assisted healing for large areas of
In addition, chest and abdominal wounds may cause substantial degloving is a potential advancement in managing these wounds,
pain and discomfort, requiring aggressive pain management. but achieving a seal with this method can be difficult in high-
motion areas of the body. In these areas, tension-relieving suture
Abdominal Injuries patterns with or without stents are recommended and placing
The anatomy of the blood supply to proximally located skin flaps may drains or creating mesh incisions is crucial to avoid formation of
be more complex and, therefore, less well understood. Degloving seromas. Walking or tacking suture patterns can be used to
injuries of the abdomen usually occur in a cranial to caudal reduce dead space and relieve tension, but excessive amounts of
direction, possibly interfering with the blood supply, which flows suture should be avoided if a wound is severely contaminated.
in a cranial to caudal direction. If a degloved subcutaneous layer Adequate drainage is important not only for successful repair but
maintains its blood supply, the chance of maintaining the health also for preventing infection inside the wound and down the
of the skin flap greatly improves. As with distal limb injuries, fascial planes into the mediastinum. Systemic antimicrobials are
suturing a skin flap that is likely to die can have value. Large skin indicated if contamination is severe.
flaps from the ventral abdomen must be assessed for viability and
contamination. Adequate tissue debridement and suturing can Conclusion
be difficult with the patient standing if the skin flap is directly Degloving injuries in horses remove large flaps of skin and under-
ventral; if necessary, a rapid-acting intravenous anesthetic can be lying tissue, usually on the distal limbs, ventral abdomen, or
Vetlearn.com | August 2011 | Compendium: Continuing Education for Veterinarians® E3