Download Acute Surgical Management by Senior Registrar Department of Anaesthesia Nian Chih Hwang, PDF

By Senior Registrar Department of Anaesthesia Nian Chih Hwang, Peng Jin London Lucien Ooi

ISBN-10: 9812386815

ISBN-13: 9789812386816

International specialists in illnesses of the adrenal glands current new clinical information and functional directions for surgeons, citizens, endocrinologists and practicing physicians. The booklet covers all points of adrenal gland ailments in nice element. comprises approx. two hundred illustrations resembling radiographs, CTMRI photographs, graphs and microscopic pathological slides, and so on. numerous tables and colour illustrations of surgical strategies with emphasis at the laparoscopic method are integrated.

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Sample text

Similarly, in cases where there is the likelihood of seizures (such as compound depressed fractures or temporal lobe tumours), or where neurosurgical intervention is imminent, anticonvulsants should also be started. Head Trauma Paediatric head trauma accounts for a large number of emergency room attendances and hospital admissions. Fortunately the majority of Paediatric Neurosurgical Emergencies 41 these patients have minor head injuries, and almost all recover fully. Since the various types of head trauma and intracranial haematomas and their treatment have already been described in the chapter on head injuries, this section will focus on the approach to the head-injured child; identify subtypes unique to children; and emphasise some of the differences from adults.

Of note are the “shaken baby” syndrome and “ping-pong” fractures in infants; Paediatric Neurosurgical Emergencies 43 “growing” fractures in young children; and “paediatric concussion” syndrome in the older child. 12 There is often a doubtful history of minor trauma or no trauma; seizures; apnoea; evidence of blunt impact to the head; skeletal or soft tissue injuries; and retinal haemorrhage. In the acute stage, CT scan findings typically show subarachnoid haemorrhage or acute subdural haematomas (Fig.

Most linear skull fractures heal without sequelae. However in cases where the injury has been relatively severe, and there is an underlying dural laceration, the force of the growing brain or an associated underlying cyst, causes the bony defect to enlarge or “grow”. If left untreated, large areas of bone loss and herniated brain can develop. Finally, in older children (between three and eight years), a syndrome of impaired consciousness has been described after a head injury, but with normal CT scan findings.

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