I got DFU case... with Dr Ruben.. orthopedic surgeon.. ya Allah so fast.. kejap sangat.. describe ulcer.. OK check sensation (deep peroneal nerve- 1web space ) compare.. dorsal aspect for superficial peroneal nerve,plantar aspect -tibial nerve, sural nerve- lateral foot, saphenous nerve- anteromedial ankle..
Secara jujurnya.. anin memang xsuka ortho.. tapi,it so easy kalo tau anatomy dia.. Viva plk anin dpt dgn Dr Laith.. here you are.. u hav finish study and now u r d houseman in charge in hospital.. (OH!! My..... dlm hatiku kata)
case 30y/o male come to ED with MVA with # on left tibia..
Proceed how u manage...
First i would like to manage trauma case based on ABC (airway,breathing and circulation... primary survey ... bla.. bla..bla..
Ok patient is stable.. Dr jawab (hehhehe senyum sikit -walaupun ED posting first posting.. i still can remember ek.. )
Check vital sign- check the wound... open #?? Yes..
Ok.. base on gustillo-anderson (yg anin ajar kwn2 td masa kat tangga spital)-shiqiin,shela dgn ain
There is I,II,III...
Lepas tu...
Pt have ACL injury (anterior drawer test,lachman test)
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How do u manage??
Non operative (life style modification?exercise?)
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Option for surgery??
Reconstruction??
OK.. u can go back...
Huahuahua... tq Dr..
That's it... dh petang.. nak masak cempedak plk...
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