Bienvenidos!

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Revising hard...ish...

I meant to do this the other day but new entries were down, so I did it in Word instead. I wonder if I could use this as a revision aid?

Ok, lets review what I was taught today. (3/5/07)
Fractures: a break in the continuity of the bone, or as I was told in fracture clinic, a break in the continuity of the bone cortex. Which is more appropriate?
What do you do when you suspect a fracture?
ABC, pain relief, then history and examination.
Points from the history: trauma/hx malignancy/osteoporosis (suggestive of pathological fracture)/bone disease
O/E: pain, swelling, oedema, erythema, tenderness to palpation, may be disfigured
If in doubt, take an Xray

Early complications: neurovascular damage, compartment syndrome (emergency, requires prompt fasciotomy to save tissues from ischaemic damage � signs include pain disproportionate to injury, pallor, paraesthesia, diminished pulses)
Intermediate/late: infection, mal union, non-union,

Foot bones:
Calcaneus, talus, navicular, cuboid, and three cuneforms. (medial, intramediate, lateral)

Dermatomes:
C2, angle of jaw
C3/4 supraclavicular area
C5: over the deltoid
C6: lateral aspect of arm down to thumb and index finger
C7: middle finger plus up to elbow joint on both sides
C8: medial aspect of forearm including pinkie and ring fingers
T1: (armpit) umm� below C3/4 area
T4: level of the nipples
T6: level of xiphistermun
T8: halfway between T6 and T10
T10: level of belly button
L1: area around inguinal ligaments
L2: �pocket� area � anterior and lateral upper thigh
L3: mid-lower thigh
L4: medial aspect of lower leg to ball of foot
L5: lateral aspect of lower leg including the dorsum
S1: sole of the foot
S2: back of the calf
S3/4/5: perianal area

11:28 a.m. - 2007-05-08

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