Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Save to My Library
Look up keyword
Like this
27Activity
0 of .
Results for:
No results containing your search query
P. 1
surgery Lec 2

surgery Lec 2

Ratings: (0)|Views: 292 |Likes:
Published by Eman Nazzal
surgery Lec 2
surgery Lec 2

More info:

Published by: Eman Nazzal on Feb 24, 2013
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

05/18/2013

pdf

text

original

 
wound
 
M
anagement of wounds; Everybody of us are responsible to get awound.-we divided the
Traumatic wounds to :
 
-Sharp, pen
 
etrating: by knife, sharp thin wire.-Blunt: stone-Bullet:
Types of wound
:
   ҉
 
We have a division of wounds due to the cause of it, and if thecause settles inside the body, or stroke the body without settlinginside:
 ╝
Cut wounds
: during shaving, cutting meat.
Learning points ofthis lecture areabout:Wound, ulcer,fistula, cyst
The wound either betraumaticsurgical
happens byaccidents
made bysurgeons
 ▒▒ 
most of our talk will beabouttraumaticwounds whichcause by Caraccidents, byFalling fromhigh places,,,etc.
 
 ╝
Lacerated wounds
: when someone strikes u by a stone or stick andu get a wound, and u can describe that wound that its Broken andirregular.
 ╝
Crushed wounds
: when a stone fall into someone or car hit him.
 ╝
Wounds with skin loss
: by a drill, piece from skin loss in place of accident.
   ҉ 
Examination of Wounds:
it’s a very important step, u must care of 
it 
.
 
-By examine the wound I can know :-
the extension of the wounds,-how its deep, -if there is any associated injures
. 
Associated injuries:
 
In emergency room there is a lot of cases about peoplecome with a horrible look, their heads covers with blood
,
but
 
when uput them on the table and remove the blood, cut the covering hair, may
found that’s
a very small wound
,
anyway
,
u must examine the woundcarefully, maybe inside that a small wound there is a stone, glass,breakage of bone, so the examination of the wound is very important, toknow the extent of the wounds, and to know if we have associatedinjures
,
A
lways
the people concern about the superficial wound, but oftenthere are things inside are more serious,
so
we must care about the
muscles
,
vessels
,
tendons
, and
bones
that there location in, or near theinjured site.
Eg;
A patient
with an injured wrist by a knife, we haveunderneath that area artery and tendons that moven the fingers, thereis a nerve that moven the muscle, and the nerves that get us the
Examinationof Wounds
 It's asimportant ashistory if the patient wasunconscious.
 
sensations,
and any one of them may get associated injure, so we haveto examine
 
carefully.
Abdominal cavity
: Eg;
patient have an injury in the abdomen by athin sharp wire as example,,, so we must be aware about everything inthe place of injury
, to impose
the injury was near the spleen, we mustthink about the stomach, the colon, the kidney, even if it lookssuperficially not deep, but in deep may there is a server bleeding
.
Chest cavity
:
we must be aware about the lung the heart, maybethere is a collection of air or blood in plural space
.
cranial cavity
: Eg;
someone striking with stone, he come tohospital walking as normal, the wound was small, the Dr suture it
,
but
 
after six hours the patient come back in a coma, after a newexamination, the Dr found that the patient has a broken cranial bone,there is sub- cranial bleeding, that compress the brain
associatedinjury.
 ▒ 
Types of Suturing:
 -
Primary suturing
:if the wound was in the skin and clean we sutureit
.-
Excision and primary suturing
:
we cutting from the wound andthen do suturing
.-
Delayed primary suturing
:
I want to delay the suturing to nextday or like that.
-
Secondary suturing
:
suturing after a week, I can't suture it todayor tomorrow.
 
-Skin grafting
.
 
so u haveto ensurethere is noassociatedinjuries

Activity (27)

You've already reviewed this. Edit your review.
1 hundred reads
Nizar S. J Owais liked this
Nadya Wanie liked this
Nadya Wanie liked this
Marwa Halalmeh liked this
Wiwi Zam liked this
Firas Abo Touk liked this
AsEel GhaWanmeh liked this
Rmz Study liked this

You're Reading a Free Preview

Download
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->