1 / 66

Specialities of pediatric surgery

Specialities of pediatric surgery. III. Year - volume. Morning activation surgery test. Interval of normokalamia? Name the five main symptomes of local inflamation Interval of normoglycemia? The first aid in fracrures? Wich is interval of normal pH of plasma?.

gabrielj
Télécharger la présentation

Specialities of pediatric surgery

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Specialities of pediatric surgery III. Year - volume

  2. Morning activation surgery test

  3. Interval of normokalamia? • Name the five main symptomes of local inflamation • Interval of normoglycemia? • The first aid in fracrures? • Wich is interval of normal pH of plasma?

  4. Moarning activation surgery test conclusions

  5. Interval of normokalamia? • 3,8 – 5,3 • Name the five main symptomes of local inflamation • Calor, rubor, Tumor, Dolorů, Functio laesa • Interval of normoglycemia? • 3,6 - 54 • The first aid in fracrures? • Imobilisation, transport • Wich is interval of normal pH of plasma? • 7,36 – 7,44

  6. Anamnesis • Family anamnesis • Personal anamnsis • Epidemiological anamnesis • Farmacology anamnesis • Allergic anamnesis • Fyzilogical functions • (Gynecological anamnesis)

  7. Anamnesis • About birth • Contact with infection • DMO, PMR, obezity • Psychical and social status • Undirect anamnesis • With child only supplementary qustions • Battery child syndrom – be careful

  8. Behaviour • spontaneous • Fear • Change reactions without • parents • State of consciousnesd • We can weak up it from teh sleep • Infants don´t respond to verbal irritation • We examine reflexes (mammilingus, defense,...)

  9. Aspection • Hematoma - BCS • Head - shape, size – congenital deformties • Chest - excavatum x carinatum • Abdomen – ventral hernias, umbilicus

  10. Percussion • Head – pain, impression • Chest • Hypersonorous • pneumothorax • Hyposonorous • Hydrothorax, infiltration • Cardial shadow – change of index,location • Kardiomyopahia, big vessels transposition • Abdomen • Hypersonorous • Pneumoperitoneum, ileus, enteral colic - tormina • Hyposonorous • Ascites, hemoperitoneum, infiltration

  11. Auskultation • Neck – a. carotis communis - stenosis • Chest • Pneumothorax • Dimininshed breathing or nothing • Hydrothorax • Damped breathing • Inflamatory or spastic fenomens • Abdomen • Normal peristalsis • Intensive peristalsis • Ileus obstructive • Deadly silence • Ileus - paralysis

  12. Palpation • Head – Big fontanella, impressions • Chest • Ribs fracture, lymphytic nodes • Abdomen • First we examine supposed painless region • Blumberg, Plenies, Murphy, Tapott • Extremities

  13. Specialities of children • Injuries • Congenital defects • Infections • Tumoürs

  14. Children specialities

  15. Head • Hydrocefalus – head circumference • Craniostenosis – premature closing of big fontanella, small head circumference • Fissures – lip, palate, mandible, jaw bone

  16. Neck • Persistant branchial arcus (cysts, fistulas) • Congenital torticolis

  17. Chest • Pectus excavatum x carinatum • Perstalsis in chest cavity – diaphragmatic hernia • Congenital heart defects • BCS multiple ribs fracture

  18. Abdomen • Ventral hernias • Omfalocele – persistant yolk sac • Gastroschisis

  19. Limbs • Luxatio perianularis (RU joint) • Willow stick fracture • Epiphyseolysis • Good and fast healing • Great ability of remodelation

  20. Gastrointestinal • Atresia of oesophagus – salivation after the birth polyhdramnion, we can´t establishe NG tube • Atresia of duodenum – double bubble on X ray vomiting, polyhydramnion • Necrotic enterokolitis • Meconious ileus – CF • Atresia of anus • Burn of GIT • Foreign body of GIT

  21. Speciality of GIT

  22. Respiratory system • Cystic fibrosis • Bronchopulmonal dysplasia (33. w.g.) • Laryngitis • Foreign bodies

  23. Excretory system • Hydronephrois • Wilms tumour • VUR • Hypospadia • Stenosis of urethra • Testicular retention

  24. Excretory system

  25. Nervous system • Hydrocephalus • Meningomyelocele • Tumours – gliomas • Craniostenosis • Child cerebral palsy • Light cerebral dysfunstion

  26. Musculosceletal system • Coxa vara • Aseptic necrosis of femoral head • Pes equinovarus • Morbus Oosgod – Schlatter • Spatic contractures • Cysts and tumours (Ewing)

  27. Diagnostic test

  28. Case 1 • Bend over • Subfebrilia • Emesis • Pain in right hypogastric region • Anamnesis cca 3 hours • Sonografic examination negative • CRP 12 • WBC 6,4 • Appendicitis acuta

  29. Case 2 • Age 3 years • Diarrhoea with blood • Abdoinal bloating • Emesis • Intensive peristalsis • Sonografic examination positive • Inususception

  30. Case 3 • Header • 4 s unconsciousnesd • Somnolence • Emesis • Headache • X ray negative • CT positive • Epidural hematoma

  31. Case 4 • Fall from a tree • Left side of body impact • Urina without erytrocities • Pallor • Pain of left shoulder • Ultrasonography positive • CT positive • RBC decline • Lienal ruptura

  32. Radiodiagnostic test

  33. 1

  34. 2

  35. 3

  36. 4

  37. 5

  38. 6

  39. 7

  40. 8

  41. 9

  42. 10 17.4.2005

  43. Radiodiagnostic testconclusions

  44. 1

  45. 2

  46. 3

More Related