History and Examination

Feb 22, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on History and Examination

    1     HISTORY AND EXAMINATION Maureen R. Nelson, Michael A. Alexander, and Gabriella E. Molnar† The physiatric history and examination of a child require a blend of medical diagnostic skills to…

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The Pediatric Patient

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on The Pediatric Patient

Fig. 3.1 A 9-year-old child sustained a lower leg and femur fracture on the right side; both fractures were aligned and the original leg length was achieved. Despite a short…

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Spine Fractures

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Spine Fractures

Fig. 8.1 Sagittal and coronal computed tomography (CT) reformations of the thoracic spine. The arrows point to the severely injured T9–10 segment. Vertical distraction injury is present resulting in severe…

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Compartment Syndrome

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Compartment Syndrome

Fracture Anticoagulation/bleeding diatheses Soft tissue injury IV fluid extravasation Dialysis/nephrotic syndrome Burns Snake bites Revascularization Exercise induced Tight casts/dressingsa Crush injurya Pneumatic antishock garmentsa aSource of external compression The use…

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Shock and Coagulopathy

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Shock and Coagulopathy

Category Mechanism Treatment Hemorrhagic Loss of circulating blood volume Intravascular volume replacement Restore O2 carrying capacity Traumatic Loss of circulating blood volume with tissue injury and release of DAMPs Control…

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Pelvic Fractures

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Pelvic Fractures

Fig. 7.1 Type A pelvic ring injuries. The pelvic ring is mechanically stable Fig. 7.2 Type B pelvic ring injuries. The pelvic ring is rotationally unstable but the posterior SI…

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Femur Fractures

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Femur Fractures

Fig. 6.1 These are examples of inadequate plain radiographs of a femur fracture. (a) AP radiograph; (b) lateral radiograph. As the knee joint is not included on the radiograph, a…

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