(2013). Review of Patients' Experiences with Fungating Wounds and Associated Quality Of Life. Journal of Wound Care, 22(5), 265-275. 9. Gethin, G., Grocott, P., Probst, S., & Clarke, E. (2014). Current Practice in The Management of Wound Odour: An international Survey.
The classification of TBI divided into primary and secondary injuries. Primary injuries are the direct result that have already occurred to the head by the time the patient first present for medical attention whereas secondary injuries can be preventable and it arises as complications of primary injuries (Le and Gean, 2006). TBI also divided into location (intra- or extra-axial), mechanism (penetrating/open or blunt/closed), and clinical severity (minor, mild, moderate, or severe) (Le and Gean, 2006). In Le and Gean study, the Glasgow Coma Scale (minor: GCS _ 15; mild: GCS _ 13; moderate: 9 _ GCS _ 12; severe: 3 _ GCS _ 8) is used to rule out the severity of head injury. Epidural, subdural, subarachnoid, and intraventricular hemorrhage are primary extra-axial injuries whereas primary intra-axial lesions include cortical contusions, intracerebral hematomas, axonal shearing injuries, gray matter injury, and vascular injury.
Consisting of bracing, cold modalities, and controlled stress to work out the alignment of the collagen fibers. It is also said by professionals today, to try and avoid immobilization of the knee, as it can contribute to the knee becoming very stiff, and the collagen fibers in the ligament not healing as properly. But also stated, isolated grade III MCL injuries, are claimed to be rare and should be treated the same as a grade II injury. (N. Reha Tandogan, Asim Kavaalp) In conclusion, surgical MCL repair vs non-surgical should be treated accordingly. It has to do with clinical findings of the injury.
If the lesion is not completely excisional, the result can be a recurrence and possible additional bone destruction by its evolution, leading to periodontal defects and additional tooth loss (KENDRICK F; WAGGONERW. F, 1996). The objective of this study is to describe a case of jaw injury diagnosed as peripheral ossifying fibroma and confront with data from the current
She had no prior medical diagnosis’s, until approximately two years earlier when she developed new-onset hypertension. Hypertension ran in the patient’s family, however the patient led an active and healthy life style including the participation in marathons and triathlons. When the patient was seen by her primary care physician, it was determined that she had hypertension secondary to a familial linkage. The patient was put on an ace-inhibitor in an attempt to control her increasing blood pressure. The patient was unsuccessfully treated with an ace-inhibitor and a vasodilator and diuretic was added to her treatment
Time and time again, Tita expresses her fatigue and distaste for these arduous chores. At first glance, it may seem as though Mama Elena is a merciless tyrant who only lives to torture Tita. However, Mama Elena assigns these tasks to Tita without any malicious intent, believing that these tasks are meant for the youngest daughter to fulfill, as she is a faithful adherent to family tradition. She expresses her appreciation for Tita in her own unique way, as she is not very fond of or accustomed to expressing her emotions openly. Her frank attitude, coupled with her lack of sympathy makes it so that her actions are misinterpreted by the reader as well as other characters.
References Ammann, B. C., Knols, R. H., Baschung, P., de Bie, R. A., & de Bruin, E. D. (2014). Application of principles of exercise training in sub-acute and chronic stroke survivors: a systematic review. BMC neurology, 14(1), 167. Borg, G. (1998). Borg's perceived exertion and pain scales.
Laboratory tests and lumbar puncture are also recommended. Direct tissue biopsy is rarely performed due to the technically difficult and potentially harmful approach to the cavernous sinus. The specific diagnostic criteria recommended by the International Headache Society are summarized: ●Unilateral headache ●Granulomatous inflammation of the cavernous sinus, superior orbital fissure or orbit, demonstrated by MRI or biopsy ●Paresis of one or more of the ipsilateral third, fourth, and/or sixth cranial nerves ●Evidence of causation demonstrated by both: •Headache has preceded oculomotor paresis by <2 weeks or developed with
A STUDY OF THE BIFURCATION OF SCIATIC NERVE AND ITS CLINICAL IMPORTANCE ABSTRACT Background:The sciatic nerve ,the principal nerve of the posterior compartment of the lower limb normally divides at the superior angle of popliteal fossa.Sometimes there could be higher division.,the knowledge of which is important in avoiding inadvertent injury during surgeries in the gluteal region . Materials and Method: The study was conducted in 64 lower limbs at Government Stanley Medical College,Chennai and Government Mohan Kumaramangalam Medical College,Salem. Results: In 60 limbs, the sciatic nerve divided at superior angle of popliteal fossa.In 3 limbs,there was higher division at the level of upper part of the thigh.In 1 limb,there was intrapelvic
Stabilization and Resuscitation of the Pediatric Trauma Patient 1. Discuss pediatric trauma mechanisms. The mechanisms of injury with pediatric trauma, in general, is something called prime middle death distribution from ATLS or ITLS which helps us classify injuries into the events that may happen or any interventions that may occur based on life. The first peak if we look at the aggregation of the data where death occurs is immediate and these are un-survivable injuries that occur at the time of an incident. These may be fatal head injuries something like a tracheal transaction or aortic rupture where patient seem essentially lifeless and having a disability to regulate themselves.