أنشئ حساباً
سجل عبر فيسبوكحالة سريرية
الوصف الكامل Background
A 34-year-old Hispanic male comes in after being involved in a
street fight. He complains of painful and swollen left arm. X ray
shows fracture of midshaft of humerus. The neurovascular
examination is normal in left arm. Closed reduction of facture is
done and arm is kept in hanging cast. One hour later the patient
complains of numbness in the left wrist with marked limitation of
extension at wrist. Which of the following is the most likely
diagnosis at this time?
A.Radial nerve injury.
B.Brachial artery injury.
C.Compartment syndrome.
D.Ulnar nerve injury.
E.Median nerve injury
Sat, 2009-04-11 12:16
a.m.a
طبيب مقيم
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A.Radial nerve injury
طيب لح جرب جاوب بس من هلأ أنا سنة أولى يعني إذا جاوبت غلط فبلا خناق
بعتقد الجواب هو A.Radial nerve injury
لأنو
يعني يا باسطة الرسغ الكعبرية يا الزندية تعطلوا و التنتين بعصبن العصب الكعبري
يعني وقت صار الكسر بالعضد تأذى العصب الكعبري
بس سؤالي ليش بعد ساعة لحتى بين ؟؟؟؟
طبعاً الجواب A
بدنا سؤال أصعب
here is another easy one:
which artery might be affected in the midshaft fracture????
إصابة العصب الكعبري
برافو للجميع وطالب الأولى تحياتي لك لمشاركتك
the-best :معك حق السؤال سهل بس وارد يجي متله
بالنسة لسؤال ليش كان الفحص طبيعي ؟
الأذية هنا ليست بسبب الكسر نفسه بل حصلت أثناء رد الكسر ’خاصة ان كسور جسم العضد الغير متبدلة ترد رد مغلق .
Radial nerve passes through the radial groove, which is on the
posterior surface of humerus.
It is the most commonly injured
nerve in fracture of midshaft of humerus.
Injury can occur at the "
time of fracture due to traction of nerve by the fracture end or after
the reduction of fracture due to impeachment of the radial nerve
during closed reduction as in this patient."
Radial nerve injury
would lead to wrist drop due to marked limitation of extension at
wrist joint
(Choice A).
Educational objective:
Radial nerve is the most commonly injured nerve in association
with fracture of midshaft humerus
which artery might be affected in the midshaft fracture
brachial artery
no........
I think radial nerve is accompained by profunda brachii (deep brachial) artery
posterior
now I have another q:
Because he was late, a 23 year-old man was running trying to catch up the train ,he grabbed the train,but unfortunately he couldn't get into it ,,so he was dragged by the train -while he was catching it by his hands- for many meters .......then he just let the train go and he fell on the ground.........
he was brought to the ER:
there were many bruises ..........and he was examined and he had the the following:
his (flexor digitorum profundus,flexor carpi ulnaris,interoseous muscles ,thenar and hypothenar muscles were paralysed ......
there was a loss of sensation in the medial part of the left arm,forarm and the hand.
the deep tendon reflex of the biceps was intact,wherase the triceps reflex was absent.
there were also ptosis ,miosis and hydrosis........
what do u think he has ??>?>?>?>
The question is for first three years student......if u don't know ,search and u will know.........
radial and ulnar nerve
i do not know what these maens...can you tell me
the prince of generation
it's very good question... so, ppl in the basic area... just think in every symptom alone... then put them all together to get the answer...
sorry ,this is the first time that I know this,cuz it is always shown like that,I always wondered how this person( I mean u) know how many dots he must write to sign in.......confusing ha??
O.K ,regarding ur answer, in medicine ,always try to add all the symptoms together and find a connection till u get the final diagnosis.....
yes I can,but I won't .....u wrote this comment so u have internet,so search for them ,cuz if u search and find the answer I bet that u won't forget them ........
I will just tell u that they are in the face.........
O.k so now try to connect ,and find a link between the symptoms and signs,how can one lesion cause an effect in the face and the arm at the same time.??>?>?
search ,search ,search............and if u give up( and I hope u won't) tell me.........
good luck.......
sorry I meant anhydrosis
the damage was at the face and the upper limb...
and mainly the nervous system...
so we have to connect between the both...
ok.
these tell us that the damage at the sympathetic cervical trunks....
and at arm....absolutely it is the Brachial plexus...
and we know that the Brachial plexus takes cervical trunks....
sooooooooooooooo....
he fall maybe at the area between the shoulder and the neck,where Brachial plexus is located...
am i right??
it is no problem about generation for me know..
just at first...it is related to the support on hakeem
O.K.......
Horner Syndrome
ya,u r right ,u r really doing a great job here............
Klumpke....
I finally find it :
read it,please ,it is a similar case
https://www.hakeem-sy.com/main/node/9968
سقى الله تلك الايام.......
شكراً جزيلاً دكتور بسام
you know what ,i think it is a problem in the c7,c8 ,T1,but I did remember that is
Klumpke paralysis coz I studied this paralysis in pediatrics as birth injuries
it is really interesting case
thank you dr.Bassam
the prince of g...:good job ,go on
but I did remember that is"
Klumpke paralysis"
I did not
(sorry ,this is the first time that I know this,cuz it is always shown like that,I always wondered how this person( I mean u) know how many dots he must write to sign in.......confusing ha)
Helwa, I really like it
yalla, we're waiting 4 the next Q
طيب شو بدي ساوي يعني....
قالولي جماعة التقني غير اسمك بحيث يكون اسم شبيه...
وما كان في غير prince
والمشكلة ما ببحبو هيك لحالو...(راح سبب الاسم الطويل)
والمشكلة التانية في واحد تاني اسمو prince
طيب رضينا بحالنا...
ولا يجوز أن يظهر الاسم كاملاً لأنو عرض الصفحة غير مناسب..
والاسم لازم يكون بسطر واحد...
ولست الوحيد..هناك أيضاً الدكتور سامر سقا أميني مطيريلو نص الاسم..
وفي كائن حي متعدد الخلايا..
بعتقد لازم يكون في حل...
إذا أزعجكم هذا الطرح ...
رجاءً احذفوا تعليقي هذا...أنا أردت أن يسمعوا صوتي.