Successfully reported this slideshow.
You’ve unlocked unlimited downloads on SlideShare!
PATHOPHYSIOLOGY PRE DISPOSING FACTORSDISTAL LIMB AMNIOTIC BANDING DEFECTIVE CARTILAGENOUS ANLAGE AMNION FORMS CONSTRICTIVE BANDS AROUND A LIMB IN UTERO. RESULTING IN FURTHER ABNORMAL OR ARRESTED DEVELOPMENT CUTTING OF CIRCULATION TO LIMBARREST OF FETAL DEVELOPMENT IN THE FIBULAR STAGE
MEDICAL MANAGEMENT1. CORRECTION a) Stretching and casting (PONSETI METHOD)
DEFINITION Juvenile rheumatoid arthritis ( JRA) is a chronic systemic inflammatory disease involving connective tissue of one or more joints.
PATHOPHYSIOLOGY CHRONIC INFLAMMATION OF THE SYNOVIUM JOINT EFUSION EROSION, DISTORTION AND FIBROSIS OF THE ARTICULAR CARTILAGE FIBROUS ANKYLOSIS WITH SUBLUXATION AND DISTORTION OF THE AFFECTED JOINT
GRANULATION TISSUE BECOMES HARD, TOUGH AND FIBROUS AND CONVERTED TO SCAR TISSUE INHIBITION OF JOINT MOVEMENTS
NURSING MANAGEMENT Teach parents regarding care and application of pavlik maneuver. Feeding and bathing the child. Skin care. Assess warmth and color of feet. Evaluate for any complication of cast.
NSG MNGMT… Child not to be left unattended. Assess for s/s of infection. Proper diet. Follow up. Psychological support. Prevent complications due to immobility.
DEFINITION A fracture is defined as a break in the continuity of a bone. This can occur either in the long bones as is most common or in flat bones such as skulls or pelvis.
HEALING OF FRACTURE HEMATOMA FORMATION AT FRACTURED END OF BONE IN GROWTH OF CAPILLARIES AND FIBROBLAST KNOWN AS GRANULATION TISSUE GRANULATION REPLACES HEMATOMA CHANGES IN GRANULATION TISSUE FORMATION OF CARTILAGE CELLS AND OSTEOBLASTS
FORMATION OF CARTILAGINOUS INTERWOVEN BONE BONE HEAL WITH STABILITY MATURITY OF BONE OCCURS
NURSING MANAGEMENT Prepare child for surgery. Keep affected part immobilized. Proper application of traction. Maintain hygiene of the child. Prevent infections.
NSG MANGMT… The child with cast observed for :a) Prevention of circulatory, neurologic or respiratory distress.b) Maintain normal body temperature.c) Maintain skin integrity.d) Improve muscle activity.e) Provide comfort measures.f) Prevent urinary stasis and constipation.g) Health education of parents.
ETIOLOGY Caused by micro-organisms. Endogenous sources. Exogenous sources.
PATHOPHYSIOLOGY OCCUR MOSTLY AT THE METAPHYSEAL REGION OF LONG BONES, ESPECIALLY FEMUR AND TIBIA BACTERIA ENTERS THROUGH OSEOUS CIRCULATION TO METAPHYSIS PUS FORMATION AND MEDULLARY CANNAL & CORTEX GET AFFECTED
NECROSIS AND DEVASCULARIZATION OF THE CORTEX NECROSIS AND DETACHMENT CHRONIC OR ACUTE OSTEOMYELITIS
DEFINITION It is a lateral or side curvature of spine due to abnormality in alignment of spine. Scoliosis develops two curves – one is original abnormal curve and second a compensatory curve in the opposite direction.
CAUSES Idiopathic Defective embryonic development of the spine. Neuromuscular paralysis Cerebral palsy Post polio Rickets Fractures Disease of hip and spine.
CLINICAL MANIFESTATIONS Leg length discrepancy Shoulder asymmetry in breast size Uneven waist line Scapular prominence Bone pain Poor posture
MANAGEMENT Orthotic devices Surgery Pre and post op casting Psychological support Health education Exercise Counseling of parents
LORDOSIS It is an abnormally increased forward curvature of lumbar spine. It is also called sway back or saddle back.
BOW LEG (Genu Varum) the term bow leg refers lateral angulation of knee joints because of inward deviation of longitudinal axis of tibia and femur.