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MedenoSrce - Ustna vprašanja - doc. Ahčan

Ustna vprašanja - doc. Ahčan

Prideš ko se zmenita (je zlo odsoten), ga malo počakaš. Pacienta ni blo.

- da ti dve slikci: odprti zlom golenice in vreznina na podlakti in si morš zmislit zgodbico kot da si na urgenci: 50 letni moški je prišel, ker se je pred 2 urama poškodoval....neko kratko anamnezo pa status si zmisliš, ki bi ga pričakoval
- pri zlomu golenice poveš da je okončina bleda in da je verjetno poškodovana žila, kao si prevero pulze, vpraša te kolko je čas tople in hladne ishemije prstov in kolko recimo stopala (ki vsebuje mišice že)
- pri vreznini na podlakti poveš senzibiliteto, aktivno/pasivno gibljivost prstov - tukaj je catch, da če so kite 90 prerezane je gibljivost popolna, le proti uporu slabša in če pošleš takega domov, se bo primo na busu za ročaj ko bo ta zabremzal in bo mu strgalo do konca kite in pol bo Ahčan jezn :)
- karcinom rektuma (zdravljenje, kere bezgavke)
- pljučni rak (zdr., bezgavke, tipi)
- allenov test, finkelsteinov test, phalenov test, znak po tinelu
- kaj je pomembno pri opeklinah (mesto, funkcionalni predel, globina,..)
- travmatologije pa splošne kirurgije ni spraševal, ma pa rad nujno medicinsko pomoč