Documente Academic
Documente Profesional
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in
Orthopaedics
Orthopaedics:
Ortho – straight
Paedics – children
Musculoskeletal
systems
Trauma Surgery
Spine Surgery
Arthroscopy & Sports Medicine
Hand Surgery
Paediatric Orthopaedics
Joint Replacement (Arthroplasty)
Oncology
Trauma - 80 % (worldwide)
Patient – story
• General Information
Age
Sex
Occupation
• Presenting Complaint
Symptoms
• Pain
• Stiffness
• Swelling
• Instability
• Deformity
• Limp
• Altered
Sensation
• Loss of function
Pain
Most Common complain
Grading of pain
I No pain
II Mild, can be ignored
III Moderate, requires treatment
IV Severe, intrusive despite analgesics
V Very severe, inhibits virtually all activities
• At the site of the
pathology:
Location, duration,
progression,
nature, intensity
Specific Characters of pain
From To
Neck
Shoulder
Shoulder Arm
Elbow
Forearm, hand
Lumbar Spine Groin
LS Spine Gluteal
Region
Hip Thigh, knee,
leg
Thigh Knee
Autonomic pain:
Rapidly or slowly
Painful or not
Same size or ↑
Instability
Due to deformity
Progressive or not
Altered
Sensation
C/O tingling, numbness, burning pain
Nerve involvement
Note progressive
• Family history
genetic disease RA. Communicable
disease TB
Past Medical History
previous trauma, injury,
sprain, strain
Systemic Review
LBP : Acute UTI
PID
Trauma Patient
General History
ABC
LOC