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    Case Presentation

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    Ibad Ur Rehman
    The document describes 6 case presentations of patients with orthopedic injuries: 1. A 5-year-old boy with a tibial shaft fracture from a playground injury. 2. A 25-year-old male with an intertrochanteric femur fracture from a motorcycle accident. 3. A 40-year-old male with a chip fracture of the first metacarpal after treatment by a bone setter. 4. A 40-year-old male with a second metatarsal fracture after a motorcycle accident. 5. A 65-year-old woman with a Colles' fracture of the distal radius after a fall. 6. A 5-year-

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    Case Presentation

    Uploaded by

    Ibad Ur Rehman
    15 views19 pages
    The document describes 6 case presentations of patients with orthopedic injuries: 1. A 5-year-old boy with a tibial shaft fracture from a playground injury. 2. A 25-year-old male with an intertrochanteric femur fracture from a motorcycle accident. 3. A 40-year-old male with a chip fracture of the first metacarpal after treatment by a bone setter. 4. A 40-year-old male with a second metatarsal fracture after a motorcycle accident. 5. A 65-year-old woman with a Colles' fracture of the distal radius after a fall. 6. A 5-year-

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    Orthopedic post emergency call cases

    Original Title

    CASE PRESENTATION

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    The document describes 6 case presentations of patients with orthopedic injuries: 1. A 5-year-old boy with a tibial shaft fracture from a playground injury. 2. A 25-year-old male with an intertrochanteric femur fracture from a motorcycle accident. 3. A 40-year-old male with a chip fracture of the first metacarpal after treatment by a bone setter. 4. A 40-year-old male with a second metatarsal fracture after a motorcycle accident. 5. A 65-year-old woman with a Colles' fracture of the distal radius after a fall. 6. A 5-year-

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    15 views19 pages

    Case Presentation

    Uploaded by

    Ibad Ur Rehman
    The document describes 6 case presentations of patients with orthopedic injuries: 1. A 5-year-old boy with a tibial shaft fracture from a playground injury. 2. A 25-year-old male with an intertrochanteric femur fracture from a motorcycle accident. 3. A 40-year-old male with a chip fracture of the first metacarpal after treatment by a bone setter. 4. A 40-year-old male with a second metatarsal fracture after a motorcycle accident. 5. A 65-year-old woman with a Colles' fracture of the distal radius after a fall. 6. A 5-year-

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    CASE

    PRESENTATION
    BY WEDNESDAY ONCALLERS
    CASE #1
    A 5 year old boy ,H/x of fall from swing
    O/E: closed injury at right leg on medial aspect
    with mild swelling & tenderness .
    Distal NV intact.
    Unable to bear weight.
    X –ray right leg (AP & lat. view):oblique fracture
    of tibial shaft at middle 1/3,minimally displaced.
    Back slab above knee was applied. His parents
    were told to do repeat X-ray after PoP but they
    didn’t comply. Discharged medications were given
    with follow up in OPD on Monday.
    CASE # 2
    25 year old male ,brought on stretcher in ER .C/o
    pain & restricted movement of left lower limb for 1
    day ago . Hx of RTA(Bike vs. Bike).

    O/E: Closed injury. Limb was externally rotated.


    Mild swelling and tenderness at lat.aspect of left
    proximal thigh. Painful and restricted movements.
    Distal NV intact. Not able to bear weight.

    X-ray Pelvis(AP view) and B/L hip joints revealed,


    Intertrochanteric fracture of left femur.

    IV NSAiDS and tetanus prophylaxis were given.


    Skin Traction kit was applied and Referred to
    JPMC/Civil Hosp due to unavailability of C-ARM.
    X-Ray Pelvis(AP view)
    I Intertrochanteric # of left femur
    X-Ray B/L Femur:
    NBI
    CASE # 3
    40 year old male .C/o pain in left thumb for 1 day.Hx
    of RTA(Bike slipped).Initially treated by bone setter.

    O/E: closed injury, Mild swelling & tenderness at base


    of thumb. Restricted Abduction of thumb. Capillary
    refill < 2sec.

    X-ray Right hand(AP & lat),:chip fracture of base of


    1st metacarpal.

    Splintage was applied with polysling and repeat x-ray


    after PoP was advised. Discharged medications were
    given with follow up in OPD on Monday.
    CASE # 4
    40 year old male ,c/o of pain & swelling of right foot
    for 1hr.Hx of RTA(bike Vs footpath) .

    O/E: Closed injury Swelling and tenderness at dorsal


    aspect of right foot . Painful and restricted movements
    .Not able to put weight . Distal NV intact.

    X-ray right foot(AP & Oblique):fracture of base of 2nd


    metatarsal . Back slab below knee was applied .
    Discharged medications were given with follow up in
    OPD on Monday.
    .
    CASE # 5
    An elderly lady of about 65 yrs,with NKCM ,c/o pain &
    swelling of right wrist for 4 hrs. Hx of fall on outstretched
    hand(FOSH)

    O/E: Closed injury. Swelling and tenderness at right wrist.


    Painful & restricted movements. Distal NV intact.

    X-ray right wrist (AP & lat) :fracture of distal radius, dorsally
    displaced(Colle’s fracture)

    Back slab above elbow was applied(after relocation) and


    polysling. Discharged medications were given with follow up
    in OPD on Monday.
    CASE # 6
    5 year old male child.C/o of pain in left leg.Hx of RTA
    O/E: swelling and bleeding from left leg with a punctured wound on medial aspect. Distal NV intact.
    X-ray left leg(AP & lat): Midshaft fracture of left tibia and fibula with posterior angulation &
    displacement.
    Rx:Thorough wound wash & Dressing done.
    Inj. ATS IM stat(vacc. Hx was incomplete)
    Inj .Ceftriaxone 500mg IV stat
    Manipulation & back slab above knee + polysling.
    Patient Discharge on oral antibiotics and NSAIDs and told to review back on Monday.

     hxzz
    Before Manipulation & PoP.
    After Manipulation & PoP.

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