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Fast Track Surgery: Trauma, Orthopaedics and the ... - PasTest

Fast Track Surgery: Trauma, Orthopaedics and the ... - PasTest

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IntroductionGaleazzi fractureGradenigo’s syndromeHistelberger’s signHorner’s syndromeMonteggia fractureOsler–Rendu–WebersyndromePendred’s syndromeRadial shaft fracture with associateddislocation of <strong>the</strong> distal radioulnarjoint, which disrupts <strong>the</strong> forearm axisjoint (syn. reverse Monteggiafracture)Seen in suppurative otitis media.Consists of:1. Signs of acute suppurative otitismedia2. Ipsilateral abducens nerve palsy3. Pain in <strong>the</strong> distribution of <strong>the</strong>ipsilateral trigeminal nerveHyperaes<strong>the</strong>sia of <strong>the</strong> posteriorexternal ear canal <strong>and</strong> ipsilateralhearing loss in acoustic neuromaSyndrome of <strong>the</strong> following ipsilateralsigns:1. Ptosis2. Miosis (constricted pupil)3. Anhidrosis (loss of sweating)4. EnophthalmosCaused by disruption of <strong>the</strong> ipsilateralsympa<strong>the</strong>tic nerve supply to <strong>the</strong> eye(classically caused by Pancoasttumour, an upper lobe lung tumour)Dislocation of radial head withfracture of proximal 1/3 of <strong>the</strong> ulnaFamilial haemorrhagic telangiectasiacausing telangiectasiae (spider naevi)in all mucosal surfaces, but mostcommonly presenting as epistaxis(still a rare cause!)An autosomal recessive syndrome ofcongenital sensorineural hearing loss(SNHL) <strong>and</strong> a thyroid goitre20

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