Ortho

COMPOUND RIGHT FOREARM BOTH BONE FRACTURE (RADIUS AND ULNAR SHAFT -DISTAL ONE THIRD) WITHOUT ANY NEUROVASCULAR DEFICIT. ORIF + PLATING FOR RADIUS AND ULNA PATIENT CAME WITH THE ALLEGED HISTORY OF FALL (SLIP) AT HER HOME IN RAMANGUDEM ON 19/11/2020 AT AROUND 7.30 PM. PATIENT IS COMPLAINING OF PAIN AND SWELLING OF RIGHT FOREARM SINCE THE FALL. NO HISTORY OF HEAD INJURY,LOSS OF CONSCIOUSNESS,ANY ENT BLEED,VOMITINGS,SEIZURES. NOT A KNOWN CASE OF DIABETES,HYPERTENSION,TB,ASTHMA,THYROID,EPILEPSY,CAD. GENERAL EXAMINATION- PATIENT IS CONSCIOUS,COHERENT,COOPERATIVE,MODERATELY BUILT AND MODERATELY NOURISHED. SHE IS AFEBRILE. BP-120/90 MM HG PR-84 BPM SPO2-100% RR-24 BPM CVS-S1 AND S2 + R/S- BLAE + CNS-NAD P/A-SOFT AND NON TENDER LOCAL EXAMINATION OF RIGHT FOREARM- TENDERNESS + SWELLING + DEFORMITY+ CREPITUS + DISTAL PULSES-PRESENT ACTIVE TOE MOVEMENTS + NO WRIST DROP PATIENT WAS CLINICORADIOLOGICALLY DIAGNOSED AS COMPOUND RIGHT FOREARM BOTH BONE FRACTURE (RADIUS AND ULNAR SHAFT -DISTAL ONE THIRD) WITHOUT ANY NEUROVASCULAR DEFICIT. -THE PATIENT HAS UNDERGONE PAC AND FITNESS FOR SURGERY WAS GIVEN. -THE PATIENT WAS OPERATED ON 25/11/2020 - ORIF + PLATING FOR RADIUS AND ULNA WAS DONE DR.RAJENDRAPRASAD AND DR.KISHORE. -PATIENT WAS STARTED ON IV ANTIBIOTICS AFTER SURGERY AND THEN SHIFTED TO ORAL DRUGS. -ABOVE ELBOW SLAB IS APPLIED. -TAB.CEFTAS-CL BD/PO 5 DAYS -TAB.PAN 40 MG OD/PO 5 DAYS -TAB.HIFENAC-P BD/PO 2 DAYS SOS -TAB.CHYMORAL FORTE TID 5 DAYS -TAB.DOLO 650 MG/TID 5 DAYS -TAB.SHELCAL-CT OD/PO 1 MONTH -POP SLAB CARE EXPLAINED(ABOVE ELBOW SLAB INSITU)

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