By Francis Morris, Jim Wardrope, Shammi Ramlakhan
This fresh name presents a hugely illustrated and unambiguous creation to most typical shows encountered in GP surgical procedures, in minor harm devices and emergency departments. It presents the fundamental info required to spot and deal with those stipulations, in addition to highlighting the pitfalls and the major diagnoses to not be neglected. Minor damage and Minor affliction at a look: * provides the precise mix of textual content and photo; double web page spreads allow easy accessibility to info for readers in a pressurised setting * Covers a variety of minor accidents and health problems in a single illustrated, complete color quantity * Identifies key diagnoses to not be overlooked with purple flags * includes brief solution Questions (SAQs) to aid try studying and popularity * features a spouse site that includes brief resolution Questions (SAQs) and flashcards, to be had at www.ataglanceseries.com/minorinjury Minor harm and Minor disease at a look is the suitable practise consultant or aide memoire for placements in acute or basic care, excellent for scientific scholars, junior medical professionals, GP trainees and nurse practitioners
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Additional info for Minor injury and minor illness at a glance
If suspected, refer urgently to ophthalmology. If you have the facility to check intraocular pressure, this will confirm the diagnosis, but this is not essential. 5). The patient is often systemically unwell and may have proptosis, fever, chemosis, reduced vision and limited or painful eye movements. Remember that not all features will be present. Have a low threshold for considering the diagnosis. Urgent referral and parenteral antibiotics are indicated. Loss of vision or acute blindness This can be caused by a variety of conditions; for example, retinal detachment, posterior vitreous detachment, vitreous haemorrhage, 40 The face Eye problems central retinal artery occlusion.
Facial X rays may show a ‘tear drop sign’. Refer to maxillofacial surgeons and also ophthalmologist if associated eye injury is found. • Eye injury. See Chapter 14 for discussion of assessment of eye injuries and less serious injury, such as corneal abrasion. Jaw injury Direct blows to the jaw in a fall or assault are the common mechanisms. The patient has pain, local tenderness, is unable to open mouth fully and feels their teeth do not meet normally. Fractures of the mandibular condyle are caused by transmitted forces and are easily missed.
Copious irrigation is the mainstay of treatment, and the eye and conjunctival sacs should be washed with a minimum of 1 L of fluid (normal saline from an intravenous giving set works as well as commercially available irrigation kits). The pH should be checked again after irrigation. If still abnormal, irrigation should be repeated until the pH is normal (after irrigation, wait a few minutes before rechecking the pH to avoid checking the pH of the irrigation fluid rather than the eye). After irrigation, examine the eye with fluoroscein for damage and refer to ophthalmology if significant corneal staining/damage seen.