Duodenum

Nov 7, 2017 by in General Surgery Comments Off on Duodenum

Grade Description I Hematoma of one portion or partial thickness laceration II Hematoma of more than one portion or laceration <50 % of circumference III Laceration 50–75 % of circumference IV Laceration…

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Crush Injuries

Nov 7, 2017 by in General Surgery Comments Off on Crush Injuries

Fig. 70.1 Blunt amputation after a patient attempted to jump onto a train and was dragged under the wheels. This illustrates why blunt amputations are generally not candidates for replantation…

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Penetrating Injuries of the Face

Nov 7, 2017 by in General Surgery Comments Off on Penetrating Injuries of the Face

Fig. 28.1 (a) Clinical picture of a high-energy penetrating injury. Notice the avulsive injury producing a composite defect characterized by loss of both soft and hard tissues. (b) CT demonstrating…

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Emergency Department Thoracotomy

Nov 7, 2017 by in General Surgery Comments Off on Emergency Department Thoracotomy

Fig. 11.1 Skin incision for emergency department thoracotomy in a male patient Fig. 11.2 Incision extended through the skin, subcutaneous tissue, and most thoracic musculature Fig. 11.3 Left anterolateral thoracotomy…

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Ballistics in Trauma

Nov 7, 2017 by in General Surgery Comments Off on Ballistics in Trauma

Where KE = Kinetic energy, M = the mass of the bullet, and V = maximum velocity. When a bullet strikes tissue (e.g. the human body), wounding energy is transferred to the body according to the…

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Gunshot Injuries to the Head

Nov 7, 2017 by in General Surgery Comments Off on Gunshot Injuries to the Head

Fig. 27.1 Patient No. 1: a 22-year-old female crime victim, who sustained multiple GSW with a single non-penetrating GSW to the head. Entry wound at R cheek, exit wound on…

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Pulmonary and Tracheobronchial Trauma

Nov 7, 2017 by in General Surgery Comments Off on Pulmonary and Tracheobronchial Trauma

Fig. 36.1 (a, b) Repair of pulmonary laceration. Main sketch: wedge excision with stapler If you decide to also access the opposite thoracic cavity, you can proceed by transecting the…

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