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Surgical Case Presentation On: Presented By: Mrs - Anisha Mane
Surgical Case Presentation On: Presented By: Mrs - Anisha Mane
Surgical Case Presentation On: Presented By: Mrs - Anisha Mane
Presented By :
Mrs.Anisha Mane
PATIENT DATA :
Name :
Gender : Male
Diagnosis :
PRESENT HISTORY :
IMMUNIZATION :
Received all the immunization till date.
FAMILY TREE DIAGRAM :
DIETARY PATTERN:
Master Rehman takes breast feeding and complementary
feed. He takes 3-4 times breast feeding 2 times
complimentary feed like rice kanji at home. After
hospitalization his appetite has reduced because of pain. He
takes only 2-3 times breast feed per day in hospital.
SOCIO- ECONOMIC STATUS:
Master Rehman belongs from a middle class socio-
economic status where the earning member of the family is
only his father. His father is a shopkeeper. Monthly income
of the family is between Rs.20,000-25,000.
DEFINITION OF SEPTIC ARTHRITIS :
An infected wound
Infant Children
Destroy the epiphysis, Vascular occlusion lead
which is still largely to necrosis of epiphyseal
cartilaginous bone
a) In the early stage, there is an acute synovitis with a purulent joint
effusion.
b) Soon the articular cartilage is attacked by bacterial and cellular
enzymes
c) If infection is not arrested, the cartilage may be completely destroyed
d) Sequlae include necrosis, sublaxation, dislocation and ankylosis.
SIGNS AND SYMPTOMS :
BOOK PICTURE PATIENT PICTURE
1. Inflamed joint with severe pain, Child have severe pain in right leg.
swelling, tenderness, warmth and Restriction of movement of affected
marked restriction of movement of area.
the limb, which is kept in flexed
position.
2. Usually there is joint effusion Moderate effusion noted in the right
which rapidly becomes purulent. hip joint with synovial thickening
and resultant erosion of the
metaphysis of right femur.
3. Fever, malaise and vomiting High grade fever i.e. 1010F, Cough
4. As the disease progress,
destruction of cartilage, septic
necrosis of the heads of ling bones
and pathological dislocation may
occur.
DIAGNOSTIC TESTS :
• Syp. A to Z 3 ml P/O OD
SURGICAL MANAGEMENT : BOOK
PICTURE
• Surgical :
Percutaneous arthrocentesis
Arthroscopy of open surgical drainage
• Rehabilitation :
Physiotherapy : Rapid mobalization
SURGICAL MANAGEMENT : PATIENT
PICTURE
• Dressing done.
Nursing Diagnosis :
1. Acute pain related to incisional wound secondary to
inflammation of joint as evidenced by continous cry of the
child.
2. Elevated body temperature more than normal related to
infection.
3. Impaired physical mobility related to restricted joint
movement.
4. Impaired skin integrity related to invasive procedure.
5. Risk for infection related to invasive procedure
1. To relieve pain
Follow – up.
RESEARCH ARTICLES :
• Clinical data were reviewed about the authors' patients, who had Hendren
anoplasty, from 2009 to 2015. Followup data were obtained from office
visits and telephone interviews with families and primary care doctors.
• Results