Musk at LMU München

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Fall: Stabile Fraktur (AO-Typ 61A2.2)

Therapie? 3

Schmerzabhängige Mobilisation, Vollbelastung
Med. Analgesie
Thromboseprophylaxe

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Humeruskopffraktur Klassifizierung

AO - Klassifizierung

A: unifocal, extraarticulär

B: bifocal, extrarticulär

C: articulär

moprhologisch in Teilfrakturen eingeteilt

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Bursitis olecrani

Ätiologie:

Klinik:

Diagnostik

Ä: Mechanisch, bakteriell nach Trauma, Infiltration, syst. KH Gicht zb o. Rheuma

K: Schwellung, Druck- Ruhe- Bewegungsschmerz, Sepsiszeichen, Entzündungszeichen

D: Sono, Röntgen, MRT, Punktion

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Was ist eine komplexe Beckenfraktur? (4) Wie viel % aller?

10%

Beckentrauma mit Begleitverletzungen,
offene Frakturen mit Eröffnung des Hautmantels oder
offene F. mit Perforation von Hohlorganen wie Rektum, Vagina,
Nerven- und Gefäßbeteiligung etc.

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Beckenringfraktur AO Typ C

vollständig instabiler Beckenring

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Notfallszenario Beckenfraktur Typ C

Beckenzwinge (supraacetubulärer Fixateur)/ Fixatuer externa

-> mech. Stabilität (Transport + Lagerungsfähig)

-> Blutstillung!! Kompression Venenplexus vor Os Sacrum

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DMS:

Durchblutung (Puls)
aktive passive Bewegung (Instabilität)
Sensibilität

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Enthesiopathien Ellenbogen Diagnostik

Klinik:

Epicondylen-Druckschmerzen,
schmerzhafte Pro- bzw. Supination,
Schwellung
Provokationstests:
- EHR: Cozen (Hand-Ext.),
- Maudsley (DIIIExt.);
- EHU: Reverse Cozen

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Knorpel-Knochen-Defekte Therapie

arthroskopisch vs offene Synovialektomie (Rezidivprophylaxe) + Entfernung Chrondromatose

post-OPRadiosynoviorthese mit Yttrium

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Scores Verletzungen

objektivierbarer Score, der die Schwere der Gesamtheiten der Verletzungen angibt (Polytraumata)!

-> Prognose, Überlebenswahrscheinlichkeit, Intensivstation??...

AIS-Score

ISS-Score: Injury

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Unspezifische Pulskontrolle

Palpation Puls (Ulnaris, Radialis)
Doppler-Sonographie
- Schallkopf auf Gefäße, Blutfluss sichtbar (Duplex), Audiosignal hörbar (Audiosono für Notfall!) Strömungsgeräusche hörbar
  - wenn unsicher in Palpation
  - wenn Messung Verschlussdrücke
Fingernagel Rekapillarisierung, draufdrücken 1-2s weiss

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Frakturen Distaler Humerus Einteilung

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Flashcards and summaries for Musk at the LMU München

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Musik at

MUSIC at

Muskeln at

Muskeln at

Muscles at

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