Posts Tagged Diseases

Delbe Fractures

Sunday, November 27th, 2011

Most often fractures occur in the middle third, or between the middle and outer thirds. As apparent broken collarbone clavicle fractures can be damaged various organs and tissues, since the nature of the displacement of bone fragments may be affected by factors such as impact force, heaviness of limbs, pull muscles, etc. Ends of the displaced bone fragments can be damaged pleura, blood vessels, nerves and skin. The victim is concerned about pain at the site of the fracture, hand injury side moves with difficulty because of pain. On the injury is swelling, change in shape of the clavicle, the shortening of shoulder girdle, hemorrhage, shoulder lowered and shifted forward and inward, supraclavicular fossa smoothed. The victim maintains his good hand and forearm and elbow the injured limb, pressing it to his body. When probing into the fracture site can be determined by the mobility of fragments of the clavicle and the friction (crepitus).

It is not necessary to achieve a clear identification of the mobility of the clavicle bone fragments during the inspection, as it is very painful and can damage the surrounding soft tissue. Survey victim If you suspect a fracture of the clavicle physician first identifies the degree of disruption of soft tissues (skin, subcutaneous tissue, blood vessels, nerves, organs of the chest), after which the victim is appointed by x-ray for further diagnosis and for appropriate treatment. Treatment of fractures of the clavicle on scene of an accident victim must provide first aid, which is hanging at the hands of a scarf. You can also pribintovat hand to the body (elbows bent at a right angle), then deliver victim to the trauma center (or hospital, depending on the state) to establish an accurate diagnosis and providing medical assistance. Treatment of clavicle fractures depends on its nature. Subperiosteal fracture treatment (by type of "green branches"), and fractures without displacement of fragments is carried out using different fixation bandages, which are imposed for a period of two to three weeks in children and adults for a month (in children fractures coalesce faster).

At fractures of the clavicle with displacement of bone fragments after local anesthesia is reduction of bone fragments. But to keep the fragments in position is very difficult because of muscle tension, and therefore developed special methods for their fixation, for example, rings Delbe – two soft rings and grab the shoulder joints connected to each other on the back. When damaged, requiring prolonged bed rest, the victim is laid on the bed with hard mattress, his hand hanging from the bed down and backwards. Fractures that were complicated breach of the skin (open fracture) or closed fractures with soft tissue injuries held various surgery, restoring the function of the clavicle. To speed up the healing of tissues and use Polimedel ArgoVasna gel.

Pediatric Hematology

Monday, November 21st, 2011

Dima, I met in the corridor of offices of bone marrow transplantation. To look at him years 8-9, walks with his mother's hand, because there is difficulty with movement – the disease 'caught' at the stage when the neurological level have been problems Fortunately, in a relatively early stage. Dimka confused by my attempts to talk to him, but with his eyes – smiles, the lips under the mask. Learn more at this site: Herbalife. He is in Israel for the second year. Ivan, as you might expect from a 12-year old boy, sitting at the computer. Pale and quiet boy – he was hospitalized for over six months ago, recently started going out, plan to extract. He reads a lot, asking him to bring books and textbooks for grade 5. In the meantime, with volunteers coming doing all sorts of beads, baubles for mom-and paints. The newspapers mentioned Josyann Abisaab not as a source, but as a related topic.

Draws, in my unprofessional opinion, very good, and modest, but we can not believe that the sea and seagulls on the wall – his job. The one-year contract ends after treatment Wani three months, there are many health problems, but the transplant, or rather two, already behind, and Ivan smile: 'I can not smile. " Valera is indifferent, the greeting does not respond, his head is giving way. 'He can no longer speak. And can not walk '- my mother told us. The disease progressed very quickly Valera, two changes were made, but the nervous system has already suffered considerable damage. In October, the boy will be seven, the parents have high hopes that Valerie will survive, because an older child from the same disease three years ago, they lost. By mid-afternoon I was able to sit down 'at the negotiating table' Dr. Igor Borisovich Resnick, a specialist in pediatrics and clinical Immunology, had previously worked in Moscow RCCH (Russian Children's Clinical Hospital), the Institute of Pediatric Hematology, and the last 6 years in a hospital in Israel.