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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