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CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY ORTHOPEDICS AND TRAUMATOLOGY “. Medical Faculty Novi Sad Clinic of ortopaedic surgery and traumatology.
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CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY ORTHOPEDICS AND TRAUMATOLOGY “
Medical Faculty Novi Sad Clinic of ortopaedic surgery and traumatology DIAGNOSTIC AND THERAPEUTIC METHODS IN ORTHOPEDICS
DIAGNOSTIC METHODS IN ORTHOPEDICS I ANAMNESIS • IDENTIFICATION AND DEMOGRAPHICS • CHIEF COMPLAINT • HISTORY OF PRESENT ILLNESS • PAST MEDICAL HISTORY • FAMILY DISEASES • ANAMNESTIC CONCLUSION
DIAGNOSTIC METHODS IN ORTHOPEDICS 1. PHYSICAL EXAMINATION • STATUS PRAESENS • STATUS LOCALIS ( STATUS ORTHOPAEDICUS) -SPINE - PELVIS - UPPER LIMB - LOWER LIMB
DIAGNOSTIC METHODS IN ORTHOPEDICS • INSPECTION • PALPATION • PERCUSSION • AUSCULTATION • ORTHOPEDIC EXAMINATION • VASCULAR EXAMINATION • NEUROLOGICAL INVESTIGATION • FUNCTIONAL STATE REWIEV • SPECIFIC TESTS
DIAGNOSTIC METHODS IN ORTHOPEDICS INSPECTION -POSITION -POSTURE (ANTALGIC) -PART OF THE BODY CONFIGURATION -SKIN
PHYSICAL EXAMINATION INSPECTION
PHYSICAL EXAMINATION INSPECTION
PHYSICAL EXAMINATION PAT_OAKR0398
DIAGNOSTIC METHODS IN ORTHOPEDICS PALPATION -SUPERFICIAL-DEEP -REST AND MOTION -PUNCTUM MAX OF PAIN -TUMEFACTION -BLOOD VESSELS -LYMPH NODES
DIAGNOSTIC METHODS IN ORTHOPEDICS PERCUSSION -DIRECT -INDIRECT AUSCULTATION
DIAGNOSTIC METHODS IN ORTHOPEDICS ORTHOPEDIC MEASUREMENTS -ORIENTATION POINTS -STRECHED POSITION AND FLACCID MUSCLES 1.SCOPE 2.LENGTH 3.AXIS 4.JOINT MOBILITY 5.DIMENSIONS OF PATHOLOGIC CHANGES
DIAGNOSTIC METHODS IN ORTHOPEDICS EXAMINATION OF VASCULAR STATUS SKIN-VARICOSE VEINS TEMPERATURE CAPILLARY NAIL REFILL TEST PERIPHERAL ARTERIES
DIAGNOSTIC METHODS IN ORTHOPEDICS EXAMINATION OF NEUROLOGICAL STATUS CMN-PMN TENDON REFLEXES SENSORY EXAMINATION VEGETATIVE FUNCTIONS
DIAGNOSTIC METHODS IN ORTHOPEDICS SPECIFIC TESTS EXAMINATION
PHYSICAL EXAMINATION JOINT INSTABILITY SIGNS
PHYSICAL EXAMINATION INSTABILITY
DIAGNOSTIC METHODS IN ORTHOPEDICS FUNCTIONAL STATE REWIEV HAND (FEEDING, TOILET, DRESSING, WRITING) CLOTHESPEG-TWEEZERS-FIST-HOOK LEG(STANDING-SUPPORT, GAIT)
DIAGNOSTIC METHODS IN ORTHOPEDICS 2. ADDITIONAL DIJAGNOSTIC METHODS RADIOGRAPHY ULTRASONOGRAPHY SCINTIGRAPHY CT EMG MRI ARTROSCOPY
RADIOGRAPHY PLAIN(AP,LL) SPECIAL POSITION(OBLIQUE, TUNEL,STRESS..) SPECIAL RTG METHODS CONTRAST RTG METHODS
DIAGNOSTIC METHODS IN ORTHOPEDICS LABORATORY TESTS HEMATOLOGY (Se, CBC with diferential...) CLINICAL BIOCHEMISTRY (urine, glucose, crp...) IMMUNOLOGY (asto, rf, hla...) BACTERIOLOGY CYTOPATHOLOGY
Treatment – PLASTER IMMOBILIZATION PRINCIPLES : Physiological position Initially sets the splint Two adjacent joints Decubitus prevention Control of limb epyphises Principles of reduction PLASTER MAKER !
