By Parminder J Singh, Catherine Swales
A 24-year-old girl attends rheumatology outpatients with an eight-week background of painful palms. On exam she is tearful and skinny. you're the medic on duty...
100 circumstances in Orthopaedics and Rheumatology offers a hundred eventualities ordinarily visible by way of scientific scholars and junior medical professionals in orthopaedic and rheumatology clinics, or within the emergency division. A succinct precis of the patient's heritage, exam and preliminary investigations, with medical and/or imaging photos, is by way of questions about the prognosis and administration of every case. the reply encompasses a targeted dialogue on each one subject, with extra representation the place acceptable, supplying an important revision reduction in addition to a pragmatic advisor for college kids 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 educating to develop into a physician. those instances will train scholars and junior medical professionals to acknowledge vital indicators and symptoms and, the place applicable, their dating to different health conditions, and to improve their diagnostic and administration abilities.
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The subtrochanteric region is between the lesser trochanter and a point 5 cm distal. • Intramedullary nails are emerging as the treatment of choice. 30 Orthopaedics CASE 12: KNEE PAIN FOLLOWING A TRAFFIC ACCIDENT History A 70-year-old man was driving his car along a main road when another vehicle pulled out of a side street and collided with his vehicle. After the impact he complained of pain in the superior aspect of his right knee. An ambulance came to the scene and took him to the emergency department.
Open fractures are surgical emergencies and ideally should be taken to the operating theatre as soon as possible or put on the next available operating list. • Plastic surgical expertise may be required to provide soft-tissue coverage. • Most closed tibial fractures can be treated conservatively using plaster of Paris. Fractures that are unstable should be fixed operatively. 47 This page intentionally left blank Orthopaedics CASE 17: A PAINFUL AN ACCIDENT AND SWOLLEN KNEE FOLLOWING History A 45-year-old man was crossing a road when he was hit by a car at the level of the vehicle’s bumper.
The blood supply to the proximal end of the femur is divided into three major groups. • The ﬁrst is the extracapsular arterial ring located at the base of the femoral neck. • The second is the ascending cervical branches of the arterial ring on the surface of the femoral neck. • The third is the arteries of the ligamentum teres. A large branch of the medial femoral circumﬂex artery forms the extracapsular arterial ring posteriorly and anteriorly by a branch from the lateral femoral circumﬂex artery.
100 Cases in Orthopaedics and Rheumatology by Parminder J Singh, Catherine Swales