Spiral fracture lower third femur. Routine interlocking nail or supracondylar nail or locking plate. May be done closed. Fracture will align with traction.
Displaced femoral shaft fracture. Rx : Intramedullary nailing or Plate and Screw fixation.
Spiral displaced shaft femur fracture needs nailing or plating as opted by orthopaedic surgeon
Oblique # of distal shaft of femur orif by distal femoral lcp or crif by retrograde femoral ILN
Spiral fracture shaft of femur.
Wel for this both the options are good mailing antegrade or retrograde and plating also good options it’s long spiral fracture
Displaced fracture shaft lower 3rdfemur
Nailing will be done
Open reduction internal fixation with (4.5 Broad LCP) Distal femar plate with lag screw... MIPPO can be done in expert hand... Now a days Supracondylar nail not preffered....
Fractured shaft of femur
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A 20 years boy came with ring like itching eruption( tinia corporis ) in lower abdomen and legs for 6 months. < summer, warmth 6 months allopathic medicines taken but no improvement past illness - np Family history - np generalities - oversensitive in heat and cold can't open his eyes in sunlight allergic tendency appitite - excessive, can't tolerate craving - bitter, sweet, warm foods thirst - profuse 7 to 8 lit / day. perspiration - moderate, no such smell stool - regular urine - clear sleep - good Mind - Angry easily < consolation obstinate no fear of death what is the medicine? plz respected Doctors share your vews in that case?Dr. Debasish Sasmal1 Like22 Answers
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patient has psoriatic plaques since 2 months itching in night and in whole body advice alopathic drugs and lotionDr. Sanjay3 Likes27 Answers
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leathery dark skin specially on knuckles and joints I have diagnosed Accanthosis Nigricans. patient has used Xerina cream for 6 month no results. Any treatment for this?Dr. Hardik Goswami5 Likes19 Answers
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An 8 year old boy, presented with High intermittent fever for 4 weeks with papular skin lesions and cough for 2 weeks. on examination multiple papular lesions at the face,extremities, perineal area are present The lesions varied from 2 mm. to 7 mm. in diameter. Old lesions are pruritic. What is the diagnosis and treatment.Dr. Sweety Bajoria5 Likes28 Answers
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Acne is an inflammatory skin disorder ofthe skin’s sebaceous glands and hair folliclesthat affects about 80% of people between the ages of 12 and 24. During puberty high levels of hormones are produced in both girls and boys. This leads to the production of large quantities of sebum. Sebum is an irritantthat can clog the pores and form a pimple which may become infected and form a pustule. Hormones don’t go away after adolescence. Many women still get premenstrual acne from of the release of progesterone after ovulation. Acne is a disease that affects the skin’s oil glands. The small holes in your skin (pores) connect to the oil glands under the skin. These glands make an oily substance called sebum. The pores connect to the glands by a canal called a follicle. Inside the follicles, oil carries dead skin cells to the surface of the skin. A thin hair also grows through the follicle and out to the skin. When the follicle of a skin gland clogs up, a pimple grows. Most pimples are found on the face, neck, back, chest, and shoulders. Acne is not a serious health threat but it can cause scars. *Causes of Acne The exact cause of acne is unknown, several related factors are :* Hormonal activity supposed to be responsible, such as menstrual cycles andpuberty. *Increase in hormones called androgens (male sex hormones), which causes sebaceous glands to enlarge and make more sebum. *Hormonal changes related to pregnancy can also cause acne. § Another factor is heredity or genetics. Researchers believe that the tendency to develop acne can be inherited from parents. For example, studies have shownthat many school-age boys with acne have a family history of the disorder .§ Accumulation of dead skin cell. § Bacteria in the pores, to which body becomes allergic. § Skin irritation or scratching of any sortwill active the inflammation. § Starting or stopping birth control pills. § Heredity (if your parents had acne, you might get it too). § Some types of medicine. § Greasy makeup.In some patients, contributing factors may be:Pressure: In some patients, pressure from helmets, chinstraps, collars, and thelike can aggravate acne.Drugs: Some medications may cause or worsen acne, such as those containing iodides, bromides, or oral or injected steroids (either the medically prescribedprednisone or the steroids bodybuilders or athletes take.) Most cases of acne, however, are not drug-related. Occupations: In some jobs, exposure to industrial products like cutting oils may produce acne.. . HOMOEOPATHIC REMEDIES. 1)SulphurIs perhaps the remedy most often indicated in this affection, especially if chronic. The skin is rough and hard and the acne is associated with comedones and constipation; great aggravation from water is the characteristic leading to Sulphur in skin affections. Face is Pale, sickly color. Heat and spotted redness of face. Black pores. Itching intensely in evening and from warmth. The acne punctata is the variety corresponding most nearly to Sulphur. Simple forms yield to Belladonna or Pulsatilla. Acne rosacea yields to Arsenicum iodatum or Sulphur iodide.SanguinariaIt is another useful remedy in acne, especially in women with scanty menses and irregular circulation of blood. Other remedies for acne dependent on sexual disturbances of women are Calcarea carbonica and Aurum muriaticum natronatrum.Kali bromatumAcne on the face, neck and shoulders. Wefrequently find acne in Epileptics who have been maltreated by bromides. This remedy is especially adapted to the acnesimplex and the acne indurata, especiallyin hyperaesthetic, nervous females. Faceflushed. Acne of face, pustules. General failure of mental power, loss of memory, melancholia, anesthesia of the mucous membranes. Suicidal mania with tremulousness. Itching of skin worse on chest, shoulders, and face. Anesthesia ofskin. This remedy may be given if Asterias Rubens fails. Dr. J.H.Clarke says, “I know of no remedy of such universal usefulness in cases of simple acne as Kali bromatum 30,” and the late Dr.A.M. Cushing recommended Arsenicum bromatum 4x as very efficacious.Thuja is one of our best remedies for acne facialis. Calcarea picrata is also a useful remedy for acne; clinically it has been found one of the good remedies. Calcarea sulphurica is indicated where the pimples suppurate. Antimonium crudumSmall red pimples on face, acne in drunkards with gastric derangements, thirst and white-coated tongue. Face with sad expression Fat, fretful, cross and peevish; cries if looked at, touched or washed. Ecstatic, dreamy, sentimental. Pustules. Antimonium tartaricum.Obstinate cases, with tendency to pustulation, are curable with this remedy.Berberis aquifoliumIt is useful where the skin is rough and the acne persistent. Natrum muriaticumIt acts especially on the sebaceous glands, and is a very helpful remedy in acne. In this affection attention must bedirected especially to the patient’s type,temperament and tendencies and the general symptoms are far mores important than the local ones. Asterias RubensPimples on the face at the age of puberty. A remedy for the sycotic diathesis; flabby, lymphatic constitution,flabby with red face. Nervous disturbances. Pimples on side of nose chin and mouth. Belladonna Acne rosacea. Alternate redness and paleness of the skin. Skin dry, hot and swollen, pustules on face. Face is red, bluish-red, hot, swollen, and shining. Patient is restless and talks fast. Acuteness of all senses. Hepar Sulphur Papules prone to suppurate and extend. Acne in youth. Suppurate with prickly pain. Easily bleed. Unhealthy skin; every little injury suppurates. Cannot bear to be uncovered; wants to be wrapped up warmly. Sticking or pricking in afflicted parts. Great sensitiveness to slightest touch. Constant offensive exhalation from the body Face, Yellowish complexion. Suits especially scrofulous and lymphatic constitutions that are inclined to have eruptions and glandular swellings. Unhealthy skin. Great sensitiveness to all impressions. The lesions spread by the formation of small papules around the side of the old lesion.Chilliness, hypersensitiveness, splinter-like pains, craving for sour and strong things are very characteristic. Calcarea Silicata Pimples, comedones. A deep, long acting medicine for complaints which come on slowly and reach their final development after long periods. Hydrogenoid constitution. Skin Itching, burning, cold and blue, very sensitive. very sensitive tocold. Patient is weak, emaciated, cold andchilly, but worse from being overheated; sensitive generally. Nux vomica Acne; skin red and blotchy. Body burninghot, especially face; yet cannot move or uncover without feeling chilly. The typical Nux patient is rather thin, spare, quick, active, nervous, and irritable. Nux patients are easily chilled, avoid open air.Very irritable: sensitive to all impressions. Ugly, malicious. Does not want to be touched. Face Pale, yellowish, earthy or livid countenance. Yellow aboutnose, mouth or eyes. Red, swollen.Arsenicum IodatumAcne hard, shotty, indurated base with pustule at apex. It will be indicated by a profound prostration, rapid, irritable pulse and severe cases of acne vulgaris. Great emaciation. Skin is Dry, scaly, itching. Debilitating night-sweats. Causticum Acne rosacea. Acne in groups, aggravated by heat. Acne especially on nose Adapted to persons with dark hair and rigid fibre; weakly, psoric, with excessively yellow, sallow complexion; Ailments from suppressed eruptions. Burning pimple with itching. Chelidonium Majus Painful red pimples and pustules; especially on nose and cheeks. Wilted skin. Dry heat of skin with itching. Painful red pimples and pustules. Face red, without heat. Itching over entire face and forehead. Depression and sadness, even to weeping. Restlessness and solicitude concerning the present and future. Graphites Pimples and acne; itching. Skin is Rough, hard, persistent dryness of portions of skin. Unhealthy skin; every little injury suppurates. Patients who are rather stout, of fair complexion, with tendency to skin affections and constipation, fat, chilly, and costive, with delayed menstrual history, take cold easily. Has aparticular tendency to develop the skin phase of internal disorders. Anemia with redness of face. Tendency to obesity. Timid. Unable to decide. Psorinum Acne rosacea. Greasy face. Pale, sickly look. Skin is yellow, dirty, and greasy. Roughness of knuckles. Pimples with black points in center. Small numerous pustules, itching unhealthy. Itching, after scratching vesicles arise, when touched. Acne worse during menses, from fats, sugar, coffee, meat. Sabina Hypochondriacal dejection. Low spirited and joyless, with a feeling of general exhaustion. Acne. Face is pale, with lusterless eyes encircled by blue ring. Black pores on nose and face. Calcarea phosphoricum Acne in anaemic girls at puberty, with vertex headache and flatulent dyspepsia, relieved by eating. Skin is dark – brown, yellowish. Red, with prickling like nettles after a bath.Thuja occidentalisPimples on face. Face glowing redness ofwhole face, with a fine network of blood vessels, as if it were marbled. oily skin. Burning heat and redness of. Flushes of heat in. Sweat on, especially on side on which he does not lie. Pimples on upper lipand chin. Lips, etc. All eruptions burn violently after cold washing. Corrosive itching. Better scratching, but then followed by burning. Painful sensitiveness of affected part. The skin symptoms better by touch.Ledum palustreAngry mood. Love for solitude. Great seriousness. Face, Alternatively pale and red. Dry pimples like millet seed on forehead. Red nodules Boils on forehead.Skin Dry, want of natural perspiration.Nitricum acidumAnxious about his complaints, with fear of death. Sadness and despondency. Face yellow. Sunken eyes encircled by yellow. Dark yellow, almost brownish complexion. Pimples on forehead and temples. Skin with Black pores.Dr. Akshay Ingole7 Likes15 Answers