there is the introduction part of the torso trauma, check out my next ppts for further more about torso trauma. contents are in following order... introduction mechanism of injury junctional zones of torso tension pneumothorax cardiac temponade massive hemothorax etc. check out all slides

1. GUIDEDED BY :
DEPARTMENT OF SURGERY
LATE BALIRAM KASHYAP MEMORIAL GOVERTMENT MEDICAL COLLEGE
PRESENTED BY :AYUSHI SAHU
BATCH :2018

2. DIAPHRAGMATIC
INJURY

4. MECHANISM OF INJURY
 PENETRATING
STAB , GUNSHOT, SHOT GUN
 BLUNT
MORE COMMON IN LEFT SIDE

5. CLINICAL
FEATURES

6. SYMPTOMS
 EARLY
SHORTNESS OF BREATH
 LATE
ABDOMINAL PAIN

7. SIGNS
 EARLY
DYSPNOEA
DECREASED BREATH SOUND
 LATE
AUDIBLE BOWEL SOUND FROM CHEST
AREA
CLINICAL OF GUT OBSTRUCTION

8. INVESTIGATIONS

9. CHEST X-RAY
 VISUALIZATION OF
ABDOMINAL ORGANS
IN CHEST
 ELEVATION OF DIAPHRAGM
 HAEMOTHORAX
 ABNORMAL POSITIONING
OF NASOGASTRICTUBE

11. ULTRASOUND
 DISCONTINUITY OF DIAPHRAGM
 HERNIA
 NONVISUALIZED DIAGPHRAGM

12. CT SCAN
 WAIST LIKE CONSTRICTION OF BOWEL
 VISCERA IN DIRECT CONTACTWITHTHE
POSTERIOR RIBS

13. EXPLORATIVE LAPROTOMY
 GOLD STANDARD
 UNSTABLE HAEMODYNAMIC PATIENT

14. TREATMENT
 REDUCTION OF ABDOMINAL CONTENT IN
ABDOMEN
 REPAIR OF DIAPHRAGM

15. COMPLICATION
 HERNIATION
 DIAPHRAGM PARALYSIS
 PULMONARY COMPLICATION
 BILIARY FISTULA

16. PELVIC DIAPHRAGM

17. MUSCLES FORMING PELVIC
FLOOR
 LEVATORANI
pubococcygeus, puborectalis and
iliococcygeus.
COCCYGEAUS

18. URETHRAL
INJURIES

20. CLASSIFICATION
 DEPENDING ON SITE OF RUPTURE
 DEPENDINGON CIRCUMFERENCE OFTHE
URETHRALWALL INVOLVED
 DEPENDING ON THICKNESS OF URETHRA

21. RUPTURE OF MEMBRANOUS
URETHRA
 ASSOSCIATEDWITH PELVIC FRACTURE
 DURING INSTRUMENTATION
 LONG STANDING CASE OF URETHRA


22. SYMPTOMS
 FAILURE OR DIFFFICULTY IN PASSING OF
URINE
 URINE FROM SCROTUM PERINEUM AND
ABDOMINALWALL

23. SIGNS
 TACHYCARDIA
 HYPOTENSION
 PALLOR
 VELMOOTEN SIGN ON RECTAL
EXAMINATION

24. INVESTIGATIONS
 X-RAY PELVIS :FOR ANY PELVIC FRACTURE
 ULTRASOUND
 URETHROGRAM

25. REFERENCE
 BAILEY’S AND LOVE’S

26. THANK
YOU