By Nev Davies, Will Jackson, Andrew Price, Jonathan Rees, Chris Lavy
FRCS Trauma and Orthopaedics Viva bargains a different method of this excessive stakes examination, from the staff in the back of the hugely profitable Oxford revision direction. in keeping with the main that viva applicants enhance their process through looking at and studying from others, the writer crew have created a best-pracitce formulation for facing the person scenarios.
The booklet is determined out in an easy structure, with viva subject matters brought by way of an an preliminary medical picture, radiograph or diagram. units of questions keep on with beneath with the urged solutions at the subsequent web page. this permits the reader to paintings in pairs, teams or all alone. in line with the Oxford Revision direction, this ebook is already a attempted and verified revision device, perfect for this high-pressure exam
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FRCS Trauma and Orthopaedics Viva bargains a special method of this excessive stakes examination, from the group at the back of the hugely winning Oxford revision direction. in keeping with the main that viva applicants enhance their procedure by way of staring at and studying from others, the writer crew have created a best-pracitce formulation for facing the person eventualities.
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Additional info for FRCS trauma and orthopaedics viva
Failure to recognize anatomical variation (EPB may lie in a separate compartment) may lead to incomplete relief of symptoms. Injury to the sensory branch of the radial nerve could result in a painful neuroma. 21 Viva 10 Reproduced from C. 1, p. 1675, with permission from Oxford University Press. How would you manage this crush injury? What would you explain to the patient? 22 Hands How would you manage this crush injury? I would take a relevant history, including: handedness; occupation; mechanism of injury; and comorbidities.
I would like to take a detailed history from the parents or carer, as a fracture of the femur in a non-ambulant child could be a non-accidental injury (NAI). You must pick this possibility up—it is reasonable for this to be a pass/fail type question. Tell me about non-accidental injury and what you would do if you suspected it. Non-accidental injury is an injury deliberately inflicted by a parent or a caregiver. It may be difficult to suspect a parent or carer of abuse but we have a duty of care as professionals to ensure care and protection of children.
Child abuse itself can take different forms (physical, neglect, sexual, emotional, Munchausen’s by proxy—rare): most are in combination. It is the second most common cause of death in young children (after trauma). Risk factors include first born, premature babies, stepchildren, family history of abuse, and parental IV drug abuse. Firstly it is important to get the child into a safe environment and treat the traumatic injuries appropriately in the same way as for an accidental injury, according to Advanced Trauma Life Support (ATLS) guidelines and being mindful that there may be other more life-threatening injuries (subdural haematoma and ‘shaken baby’ syndrome).