38 yr/M with femur comminuted intercondylar, supracondylar extension

38yr male with closed femur comminuted intercondylar supracondylar extension 

This is an online eblog book to discuss our patients de-identified health data shared after taking his/her informed consent. Here we discuss our individual patients problems thorugh series of inputs from avaliable global online commity of experts with an aim to slove those patients clinical problems with collective current best evidence based inputs.

38 yr male came to causality with cheif complaints of pain after he met with an accident.

HISTORY OF PRESENT ILLNESS

Patient was asymptomatic before trauma and developed pain after trauma.

Apatite is normal, not associated with nausea,vomitings 

Pain in the right leg ,right hand ,and some minor injuries

HISTORY OF PAST ILLNESS

Patient fall from bike 2yrs ago and had minor injuries 
No external injuries
Active toe and ankle movements

PERSONAL HISTORY

Married
Appatite normal
Bowel movements regular
No known allergies
Alcohol history:monthly once since 20 years

PHYSICAL EXAMINATION 
No pallor,no icterus, no lymphadenopathy,no clubbing,no oedema 

VITALS

Temperature:normal
PR:80/min
Bp:110/80mmhg
Spo2:99%

PROVISIONAL DIAGNOSIS 

Closed femur comminuted intercondylar supracondylar extension.closed 2nd metacarpel bare

SYSTEMIC EXAMINATION 

CVS:no thrills, no murmurs
 ,s1 s2 heard 
Respiratory system:no crepts
CNS:no abnormalities detected

INVESTIGATIONS

INJ.TT

INJ.DICLO 3CC

T.TAXIM 300mg PO BD

INJ.NEOMOL 100ML IV TID

INJ.TRAMADOL 50MG IN 100ML NS

T.PANTOP 40MG PO OD

T.LIMCEE 500 MG PO BP

T.CHIMORAL FORTE PO TID 

HIGH GROIN POP SLAB APPLICATION 

COCK UP SLAB APPLICATION 

ARM SLING POUCH APPLICATION 

IVF_NS, RL

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