Clinical Features In infants, suspect bowel obstruction if: No meconium is evacuated within the first 24 hours of birth. There is a green or bilious vomiting. There is abdominal distension. In older children and adults, suspect bowel obstruction if: There is constipation There is abdominal distension There is fever(if advanced obstruction is present). There are […]
Day: October 27, 2022
General Surgery
Abdominal Conditions ACUTE ABDOMEN Acute abdomen is a clinical term used to describe a syndrome that usually incorporates symptoms and signs in the abdomen. Central to the syndrome is severe, acute abdominal pain. The term” acute abdomen” is a symptomatic diagnosis and not a definitive one. It is critical in these patients that a […]
Spinal Injury
Spinal injury could involve soft tissues(muscles and ligaments), bones(vertebrae and discs), and neural tissue(spinal cord and nerves). It is important for primary assessment to establish the presence of an injury and initiate immediate treatment to avoid worsening either the primary or the secondary injury. CAUSES OF SPINAL INJURIES Road traffic accidents Assaults Blunt Injury […]
Head Injury
With the high number of road traffic accidents and assaults, this is a fairly common injury. Early and proper management is critical in order to avoid death and long-term morbidity. Investigations Radiological information of CT scan is usually more informative than simple skull radiograph. Management Initiate resuscitation measures. Document accurately the neurological status […]
Maxillofacial Injury
This injury can present with an apparently frightening clinical picture. Do not panic! Traumatic injuries to the facial structures may be classified as: Soft tissue injuries +- tissue loss Hard tissue injuries +-bone loss Combined soft and hard tissue injuries. Management The management principles of maxillofacial injuries are: Advanced trauma life support (ATLS) principles […]