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Abdullah Mamun
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DDH is a leading cause og congenial and devlomental hip anomalies.if diagnosed early then results & outcome can be improved,
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Learning Objectives: Contrast the neural and local control of circulations through special regions. Compare the physiological significance of variation in circulations through special regions. Content Overview: This lecture provides a comprehensive exploration of circulation in specialized regions of the body, including coronary, cerebral, splanchnic, cutaneous, fetal, skeletal muscle, and pulmonary circulations. The physiological and anatomical considerations, regulation mechanisms, and unique features of each type of circulation are discussed. Key concepts such as autoregulation, local metabolic factors, and neural influences are covered in detail. Key Topics: Coronary Circulation: Anatomy and physiology of coronary blood supply. Phasic changes in blood flow during systole and diastole. Regulation by autonomic nervous system and local metabolic factors (hypoxia, adenosine). Cerebral Circulation: Control by local metabolic factors (CO2, H+). Autoregulation and hyperemia. Anatomy of cerebral blood supply and special features of cerebral blood vessels. Splanchnic Circulation: Anatomy and regulation of blood flow to the gastrointestinal organs. Role of sympathetic and parasympathetic nervous systems. Chemical factors and the concept of autoregulatory escape. Cutaneous Circulation: Thermoregulatory function and dense nervous innervation. Mechanisms of vasodilation and vasoconstriction. Blood reservoir function and responses to mechanical stimuli. Fetal Circulation: Unique aspects of fetal blood flow including umbilical vessels, ductus venosus, foramen ovale, and ductus arteriosus. Changes in circulation at birth and the stimuli for these changes. Skeletal Muscle Circulation: Regulation during rest and exercise. Role of nervous and local metabolic control. Circulatory adjustments during physical activity. Pulmonary Circulation: Characteristics and regulation of pulmonary blood flow. Zones of blood flow in the lungs and the effect of gravity. Response to hypoxia and other factors influencing pulmonary vascular resistance
Circulation through Special Regions -characteristics and regulation
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Paediatric fracture
1.
Prof. Muhammad Shahiduzzaman
Head, Department of Orthopaedics & Traumatology Dhaka Medical College Hospital Paediatric Fracture
2.
3.
4.
5.
6.
7.
8.
Age related #
pattern
9.
10.
11.
Green Stick Fracture
12.
Torus Greenstick Green
Stick Fracture
13.
Plastic Deformity Injury
Pattern
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
Crash Injury to
growth plate Salter Harris Grade V
27.
28.
29.
Malunion-Remodeling Process
30.
31.
32.
33.
34.
Radio-capitaller line Evaluation
of paediatric elbow film
35.
Supracondylar Fracture of
Humerus Evaluation of paediatric elbow film
36.
37.
38.
Indication for operative
management
39.
40.
41.
Intramedullary wires, elastic
nails Very useful, Diaphyseal fractures Method of fixation
42.
43.
44.
45.
46.
47.
48.
49.
50.
Radiology of child
abuse
51.
Corner’s fracture (traction
and rotation)
52.
Bucket handle fracture
(traction and rotation)
53.
Pathological fracture
54.
55.
56.
57.
Thank You
Editor's Notes
Figure 8-178 Greenstick fracture. In the humerus of this elementary school child, a direct blow from the direction of the arrow has caused an incomplete transverse fracture.
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