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CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY ORTHOPEDICSAND TRAUMATOLOGY TRAUMATOLOGY “
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DIAGNOSTIC AND THERAPEUTIC METHODS IN ORTHOPEDICS Medical Faculty Novi Sad Clinic of ortopaedic surgery and traumatology
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DIAGNOSTIC METHODS IN ORTHOPEDICS I ANAMNESIS IDENTIFICATION AND DEMOGRAPHICS CHIEF COMPLAINT HISTORY OF PRESENT ILLNESS PAST MEDICAL HISTORY FAMILY DISEASES ANAMNESTIC CONCLUSION
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DIAGNOSTIC METHODS IN ORTHOPEDICS 1. PHYSICAL EXAMINATION STATUS PRAESENS STATUS LOCALIS ( STATUS ORTHOPAEDICUS) ( STATUS ORTHOPAEDICUS) - SPINE - SPINE - PELVIS - PELVIS - UPPER LIMB - UPPER LIMB - LOWER LIMB - LOWER LIMB
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DIAGNOSTIC METHODS IN ORTHOPEDICS 1. INSPECTION 2. PALPATION 3. PERCUSSION 4. AUSCULTATION 5. ORTHOPEDIC EXAMINATION 6. VASCULAR EXAMINATION 7. NEUROLOGICAL INVESTIGATION 8. FUNCTIONAL STATE REWIEV 9. SPECIFIC TESTS
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DIAGNOSTIC METHODS IN ORTHOPEDICS INSPECTION - POSITION -POSTURE (ANTALGIC) -PART OF THE BODY CONFIGURATION -SKIN
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PHYSICAL EXAMINATION INSPECTIONINSPECTION
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INSPECTIONINSPECTION
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PAT_OAKR0398 PHYSICAL EXAMINATION
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DIAGNOSTIC METHODS IN ORTHOPEDICS PALPATION-SUPERFICIAL-DEEP -REST AND MOTION -PUNCTUM MAX OF PAIN -TUMEFACTION -BLOOD VESSELS -LYMPH NODES
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DIAGNOSTIC METHODS IN ORTHOPEDICS PERCUSSION-DIRECT-INDIRECTAUSCULTATION
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ORTHOPEDIC MEASUREMENTS -ORIENTATION POINTS -STRECHED POSITION AND FLACCID MUSCLES 1.SCOPE2.LENGTH3.AXIS 4.JOINT MOBILITY 5.DIMENSIONS OF PATHOLOGIC CHANGES
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DIAGNOSTIC METHODS IN ORTHOPEDICS EXAMINATION OF VASCULAR STATUS SKIN-VARICOSE VEINS TEMPERATURE CAPILLARY NAIL REFILL TEST PERIPHERAL ARTERIES
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DIAGNOSTIC METHODS IN ORTHOPEDICS EXAMINATION OF NEUROLOGICAL STATUS CMN-PMN TENDON REFLEXES SENSORY EXAMINATION VEGETATIVE FUNCTIONS
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DIAGNOSTIC METHODS IN ORTHOPEDICS SPECIFIC TESTS EXAMINATION
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PHYSICAL EXAMINATION JOINT INSTABILITY SIGNS
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PHYSICAL EXAMINATION INSTABILITY
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SPECIAL TESTS EXAMINATION
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DIAGNOSTIC METHODS IN ORTHOPEDICS FUNCTIONAL STATE REWIEV HAND ( FEEDING, TOILET, DRESSING, WRITING ) HAND ( FEEDING, TOILET, DRESSING, WRITING ) CLOTHESPEG-TWEEZERS-FIST-HOOK CLOTHESPEG-TWEEZERS-FIST-HOOK LEG (STANDING-SUPPORT, GAIT) LEG (STANDING-SUPPORT, GAIT)
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DIAGNOSTIC METHODS IN ORTHOPEDICS 2. ADDITIONAL DIJAGNOSTIC METHODS RADIOGRAPHYULTRASONOGRAPHYSCINTIGRAPHYCTEMGMRIARTROSCOPY
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RADIOGRAPHY PLAIN(AP,LL) SPECIAL POSITION(OBLIQUE, TUNEL,STRESS..) SPECIAL RTG METHODS CONTRAST RTG METHODS
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RADIOGRAPHY
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RADIOGRAPHY
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NUCLEAR MAGNETIC RESONANCE
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DIAGNOSTIC METHODS IN ORTHOPEDICS LABORATORY TESTS HEMATOLOGY (Se, CBC with diferential...) CLINICAL BIOCHEMISTRY (urine, glucose, crp...) IMMUNOLOGY (asto, rf, hla...) BACTERIOLOGYCYTOPATHOLOGY
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Treatment – PLASTER IMMOBILIZATION PRINCIPLES : Physiological position Initially sets the splint Two adjacent joints Decubitus prevention Control of limb epyphises Principles of reduction PLASTER MAKER !
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PLASTER IMMOBILIZATION
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ORTHOTICS
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ORTHOTICS
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SKELETAL PIN TRACTION
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SKIN TRACTION
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CRANIAL TRACTION
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Treatment – prosthetic surgery
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Treatment – knee ligamentoplasty
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Treatment – Spinal surgery
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Treatment – long bones osteosynthesis
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Internal fixation - principles
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Tension band and wires ( “zuggutrung”)
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Internal fixation - principles Intramedullary fixation
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Internal fixation - principles “Hybrid” Fixation
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Treatment - amputation
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