surgery

Kehr sign
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Terms in this set (7)
Kehr sign
left shoulder pain from splenic hemorrhage irriating the phrenic nerve and diaphragm

splenic hemorrhage after blunt abdominal trauma (BAT)
intervention for lowering intracranial pressure
head elevation: increased venous outflow from the head

sedation: decrease metabolic demand and control of HTN

intravenous mannitol: extraction of free water out of the brain tissue: osmotic diuresis

short-term hyperventilation: CO2 washout, cerebral brain vasoconstriction
Volkmann's ischemic contracture
the final sequel of compartment syndrome in which the dead muscle has been replaced with fibrous tissue
arm nerve damage
axillary nerve: anterior shoulder dislocation. paralysis of the deltoid and teres minor muscles as well as loss of sensation over the lateral upper arm.

radial nerve: fracture of the humeral midshaft and use of improperly fitted crutches: wrist drop and sensory loss on the posterior arm, forearm and lateral dorsal hand

ulnar nerve: fracture of the medial epicondyle of the humerus or mor distally by deep lacerations of the anteror wrist.
claw hand resulting from paralysis of most of the intrinsic muscles of te hand as well as sensory loss on the dorsal and ventral medial hand

musculocutaneous nerve arises from the lateral cord of brachial plexus and innervates the biceps, brachialis and coracobrachialis muscles. it's not frequently injured by common forms of upper extremity trauma

long thoracic nerve ? serraturs anterior muscles.
deep laceraions to the axillary region and axillary lymphadenectomy are common causes of long thoracic nerve injury
scapular winging.
necrotizing surgical infection
intense pain in the wound
fever, hypotension and tachycardia
decreased sensitivity at the edges of wound
cloudy gray discharge
tense edema outside involved skin
subcutaneous gas with crepitus
pagets's diseaseof the breast
eczematous changes of the nipple== characteristic finding
early dumping syndrome
post gastrectomy 50%
pain after meal
dietary modification help symptom control
otreotide should be tried
reconstrictive surgery last resort