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…
PENETRATING INJURY Common objects causing injury are knives, arrows, spears,and bullets.The objective of the management is to restore normal anatomy or physiology resulting from the stab injury. Investigations For the majority of cases, the chest radiograph alone is adequate.…
A patient injured in more than two body systems is defined as multiply injured.This situation commonly occurs in road traffic accidents, falls from a height, blast injuries, etc. The approach to a patient with multiple injuries has to be systematic…
The majority of burns are caused by heat, which may be open flame, contact heat, and hot liquids (scalds). Others are chemical, electric, friction, sunburns,and irradiation.NB: Extreme cold can cause tissue injuries(i.e frostbite). Initial Management of Burn Cases FIRST…
These include bites by humans, dogs, and other domestic animals, as well as wild animal bites. Management This will depend on the extent of tissue loss and the site of injury. Most bites consist of cuts and simple lacerations.…
Injuries to the spleen, liver, bladder, gut, etc., are not an uncommon cause of preventable death and their proper clinical assessment is vital. The spleen,liver, retroperitoneum, small bowel, kidneys, bladder, collorectum, diaphragm, and pancreas tend to be the most commonly…
The aims of postoperative care are to: Monitor the patient’s postoperative period to detect and correct any anomalies. Keep the patient comfortable and give adequate analagesia. Rectal diclofenac 100 mg(adults), paracetamol for children or pethidine 1 mg/kg TDS. Offer supportive…
Antimicrobial prophylaxis can decrease the incidence of infection, particularly wound infection after certain operation, but this benefit must be weighed against cost, risks of toxic or allergic reactions, and emergence of resistant bacteria. The administration of antibiotic agents to prevent…
The golden rule of blood transfusion should be that no transfusion is given unless the benefit of the transfusion outweighs the risks. Before all blood transfusion,therefore,there must be a balance among the risks associated with the transfusion, the indications for…
The HIV/AIDS disease in Kenya is currently affecting all age groups, including teens. It is important for the surgeon to appreciate the varying surgical presentations this disease has. Strict surgical barriers must be implemented at all times to avoid…
