Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)

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Nov. 26th, 2011

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Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)

  1. 1. GENERAL ORTHOPEDIC Dr Bakhtyar Baram INFECTIONS
  2. 2. Even spontane infectionPostoperative or posttraumatic infection
  3. 3. PATIENTS FACTORGeneral condition.Serum albuminImmunologic factor.Alcohol and medicine .
  4. 4. SURGICAL FACTORSPreparation,Skin ster.Operationmethode.Operation theater
  5. 5. DIAGNOSISClinicallyLab. Test,CRP,ESR,Leucocyte.biopsy,C/SX-rayUltasoundCT scaningMRIBonescintigraphy and isotopscaning,or leucocytescin.
  6. 6. ACUTE HAEMATOGEN OSTEOMYLITIS Incidence Physiology Examination,labr., bloodculture, x-ray, acute MRI, Aspiration&biopsy Treatment Antibiotic alone Antibiotic not alone when………… Complications Purulent arthritis,cartilage destruction and OA , Chronic OM,fracture,DV T,deg.epiphyse ,
  7. 7. SUBACUTE HAEM. OM Lesser GH ef fect Subfebrile or no fever Lab.test almost negative Mostly pain Brodie abscese. X-ray,MRI,Biopsy Treatment Biopsy,revision, antibiotic.
  8. 8. CHRONIC OM Weeks until one year after the acute OM or trauma. Aetiology Clinically Treatment 1 .Radical excision 2.rerestructuring goodvascular soft tissue. 3.bone rerestruc. And stability 4.AntibioticBone TB
  9. 9. PURUELENT-INF.- ARTHRITISReactive or infectionPathogenese and aetiologyDiagnosisTreatmentBiopsy or aspiration,,C/S, surgery and antibiotic .
  10. 10. SOFT TISSUE INFECTIONS Abscese. Erysipelas or skin streptococuse infection. Gasgangren. Diagnosis and aetiology. Treatment. Facitis necrotis Aetiology Sympt.&sign. treatment
  11. 11. POSTOPERATIVE INFECTIONS
  12. 12. POSTTRAUMATIC INFECTIONS
  13. 13. POSTARTHROPLAST Y INFECTIONS

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