General anesthesia

A. Inhalational general anesthetics – 1. Gas – Nitrous oxide 2. Volatile liquid – Isoflurane, Sevoflurane NOTE : All inhalational general anesthesia drugs mention on anesthesia machine. (See below image) B. Intravenous general anesthetics – 1. Fast acting – Propofol (It looks like milk, see below image), Thiopentone sodium 2. Slow acting –    a. …

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Keloid

Scar types – 1. Atrophic scar 2. Hypertrophic scar 3. Keloid scar (see image below) Triamcinolone – It’s a corticosteroid (glucocortocoid) Use to treat hypertrophic and keloid scars (Intra lesional injection) Reference – 1. Bailey and love’s short practice of surgery, Vol – 1, 27th edition, P. No. 31

Distal radius fracture

Before studying distal radius fracture, it is necessary to know what’s difference between extra articular fracture and intra articular fracture? Extra articular fracture v/s intra articular fracture :  1. Extra articular fracture – Articular surface (Joint) not involve (see blue line on radius bone) eg. Colle’s fracture and smith fracture. 2. Intra articular fracture – …

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Volkmann’s contracture

1. Supra condylar fracture of humerus bone / Tight plaster 2. Due to supra condylar fracture / tight plaster brachial artery damage (artery compress, tear) 3. Blood flow decrease (Ischaemia) – Volkmann’s ischaemia 4. If Ischaemia persist for long time – It cause muscle necrosis 5. Contracture (short and hard) and fibrosis of muscle – …

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