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    A Prospctive Clinical Study On Penetrating & Non Penetrating Abdomen Injurues

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    nivasv
    This study aims to prospectively evaluate patients presenting with penetrating or non-penetrating abdominal injuries. Specific objectives include determining the age and sex incidence, evaluating clinical presentations, identifying the frequency of abdominal organ involvement, assessing the accuracy of ultrasound in diagnosis, and evaluating the roles of surgical versus conservative management. The methodology involves a prospective study of patients admitted with abdominal injuries to a hospital department of surgery. Inclusion criteria are all patients with penetrating or non-penetrating abdominal injuries, while exclusion criteria relate to previous abdominal symptoms or recent abdominal surgery.

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    A Prospctive Clinical Study On Penetrating & Non Penetrating Abdomen Injurues

    Uploaded by

    nivasv
    32 views10 pages
    This study aims to prospectively evaluate patients presenting with penetrating or non-penetrating abdominal injuries. Specific objectives include determining the age and sex incidence, evaluating clinical presentations, identifying the frequency of abdominal organ involvement, assessing the accuracy of ultrasound in diagnosis, and evaluating the roles of surgical versus conservative management. The methodology involves a prospective study of patients admitted with abdominal injuries to a hospital department of surgery. Inclusion criteria are all patients with penetrating or non-penetrating abdominal injuries, while exclusion criteria relate to previous abdominal symptoms or recent abdominal surgery.

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    A_____CLINICAL______STUDY_____________ON

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    This study aims to prospectively evaluate patients presenting with penetrating or non-penetrating abdominal injuries. Specific objectives include determining the age and sex incidence, evaluating clinical presentations, identifying the frequency of abdominal organ involvement, assessing the accuracy of ultrasound in diagnosis, and evaluating the roles of surgical versus conservative management. The methodology involves a prospective study of patients admitted with abdominal injuries to a hospital department of surgery. Inclusion criteria are all patients with penetrating or non-penetrating abdominal injuries, while exclusion criteria relate to previous abdominal symptoms or recent abdominal surgery.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    32 views10 pages

    A Prospctive Clinical Study On Penetrating & Non Penetrating Abdomen Injurues

    Uploaded by

    nivasv
    This study aims to prospectively evaluate patients presenting with penetrating or non-penetrating abdominal injuries. Specific objectives include determining the age and sex incidence, evaluating clinical presentations, identifying the frequency of abdominal organ involvement, assessing the accuracy of ultrasound in diagnosis, and evaluating the roles of surgical versus conservative management. The methodology involves a prospective study of patients admitted with abdominal injuries to a hospital department of surgery. Inclusion criteria are all patients with penetrating or non-penetrating abdominal injuries, while exclusion criteria relate to previous abdominal symptoms or recent abdominal surgery.

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    Download as DOC, PDF, TXT or read online from Scribd
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    of 10

    A PROSPCTIVE CLINICAL STUDY ON PENETRATING & NON PENETRATING ABDOMEN INJURUES

    OBJECTIVES OF THE STUDY 1.To know the age &sex incidence 2.To evaluate various mode of clinical presentation 3.To find out the frequency of various abdominal organ involved 4.To evaluate the accuracy of ultrasound abdomen &pelvis . 5.To evaluate the role of surgical treatment &conservative management. METHODOLOGY This study is a prospective study in Govt.mohan kumaramangalam college &hospital,salem department of surgery with patients admitting with penetrating &non penetrating abdomen injury. INCLUSION CRITERIA 1.All patients with penetrating &non penetrating abdomen injuries. EXCLUSION CRITERIA 1.Patient with previous history of abdominal pain before the injury 2.Patient with history of surgery in the past 3 months

    PROFOMA
    A.PARTICULARS OF THE PATIENT
    NameAge Sex Religion Occupation Address

    Ip.number Unit 1

    d.o.trauma d.o.a d.o.s d.o.d

    PRESENTING COMPLAINTS WITH DURATION Place of injury: Mode of injury:

    Duration of injury

    HISTORY OF PRESENTING ILLNESS 1.Pain abdomen Onset Duration Character Site Radiation Postural variation

    2.Vomiting Duration Frequency Character Vomitus

    3.Distension of abdomen Duration Uniform/localised If localised site

    4.Bowels History of passage of flatus &stools after the injury Bleeding per rectum

    5.Micturation Passed urine or not Hematuria Retention

    6.Fever

    7.Any other complaints

    8.Any associated injuries

    PAST HISTORY Any previous surgery. If yes type of surgery

    COMORBID ILLNESS HT / DM / BA / TB / JAUNDICE

    MENSTRUAL HISTORY

    F.PERSONAL HISTORY 1.Smoking / Alcohol / Tobacco chewing

    G. GENERAL PHYSICAL EXAMINATION 1.Apperance 2.Built well/moderate/poor 3.Nourishment 4.Vitals -temperature, 5.Pallor 6.Odema 7.Cyanosis 8.Icterus 9.Generalised lymphadenopathy 10.Any other features 4 Pulse bp RR

    LOCAL EXAMINATION

    INSPECTION Skin over the abdomen Contour Shape Symmetry Position of umbilicus Visible external injuries

    Movement with respiration Prominent swelling

    PALPATION Temperature Tenderness Distension Rebound tenderness Guarding Rigidity Mass per abdomen

    Abdominal girth Hernial orifice External genitalia

    PERCUSSION Liver dullness Splenic dullness Evidence of free fluid

    ASCULTATION

    PERRECTAL EXAMINATION

    PERVAGINAL EXAMINATION

    OTHER SYSTEM EXAMINATION Respiratory system Cardiovascular system Central nervous system

    PROVISIONAL DIAGNOSIS

    A.INVESTIGATIONS 1.BLOODHB% TC DC ESR BT Urea CT creatinine sugar PLME-

    2.URINEAlbumin sugar microscopy

    3.STOOLcolour occult blood

    4.SERUM Amylase electrolytes Na+ k+

    5.RADIOLOGICAL STUDYchest x ray pa view

    x ray abdomen

    Ultra sound abdomen &pelvis

    Ct scan abdomen

    6.DIAGNOSTIC PERITONEAL LAVAGE.

    4.ANY OTHER INVESTIGATION

    TREATMENT CONSERVATIVE TREATMENT/ SURGICAL TREATMENT

    PEROPERATIVE FINDING

    POST OPERATIVE COURSE

    FINAL DIAGNOSIS

    FOLLOW UP

    10

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