Long Case 3 Trauma


Long Case 3
                                                Trauma
C/C – Pain on back and pelvic region – 2/ 52
HOPI –
Fall injury , landed on buttock from 5 mtrs tall height
No Loss of Consciousness (LOC) , ENT bleeding , vomiting ,
Wound/bleeding
Movement – Walking / standing
Distal neurology – color / ability to move toes or fingers
Transport following fall
                                                            Stretcher ?
                                                            Carried on arm and dragged ?
                                                            Carried on extremities ?
                                                            Ambulance

Primary Treatment –
                                                            Pain management
                                                            X-ray ? – Diagnosis
                                                            Splinting
                                                            Antibiotics , TT
                                                            Catherterization
           

                                                             outcome of the treatment 


Definite Treatment – First on OPD or Emergency  ?
                                                            Blood Transfusion ?
                                                            Traction
                                                            Debridement
                                                            Bone grafting
                                                            OT procedure – chronologically
                                                            Extenal Fixator
           
                        Days admitted – ICU ?
                                       outcome of the treatment 


                                          Complications  ?                       
                                              Systemic –      Fever
                                                                        Local   -           Wound Infection
                                                                        Bed Sore
                                         Improved?
Present Status
            Pain –                         Site (S)- on lower back
                                                Onset(O)-
                                                Character(C)- Aching
                                                Radiation (R) -
                                                Accentuation (A)-
                                                Time (T)- Night pain
                                                Exacerbating Factors(E)-

            Swelling
            Discharge
            Loss of movement – Sitting
                                                Standing
                                                Walking

            Function                    
ADLs –Dressing  
                                    Stands/Walks / sit and squats / runs
                                    Climbing stairs                                                          for lower extremity
                                    Using Indian/ British toilets
           
             
                                    ADLs – Brushing /washing face /dressing
                                    Elevates hand above shoulder ,reaches back , opposite shoulder  UE    
                                    Lifts objects

           
                                               
                                                           
           
                                               

           
                       
           
Past
Family
Personal
Menstrual History
Birth and Developmental
Vaccination History
Socioeconomic History



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