HTHSCI 2F03 Lecture Notes - Lecture 12: Chest Physiotherapy, Seroma, Uremia

• School: McMaster University
• Department: Health Sciences
• Course: HTHSCI 2F03
• Professor: Bruce Wainman

Document Summary

Bleeding at the end of surgery or early post-op. Void to running taps or in hot bath. If failed, may be sent home c silicone catheter and urology outpt. f/up. Mucus plugging + absorption of distal air collapse. Anaesthetics mucus production mucociliary clearance. Clean: incise uninfected skin w/o opening viscus. Clean/cont: intra-op breach of viscus (not colon) Contaminated: breach of viscus + spillage or opening of colon. Dirty: site already contaminated faeces, pus, trauma. Comorbs: e. g. bm, uraemia, chronic cough, ca. Iap: e. g. prolonged ileus distension. Replace abdo contents and cover c sterile soaked gauze. Close c deep non-absorbable sutures (e. g. nylon) Right hemicolectomy (e. g. for carcinoid, caecal necrosis) Recurrent laryngeal n. trauma hoarse voice. Cultures: wound swabs, cvp tip for culture. Acute infection of the subcutaneous connective tissue. Dvts occur in 25-50% of surgical patients. Surgery plats and fibrinogen. 65% of below knee dvts are asymptomatic. Dx: assess probability using wells" score, low-probability perform d-dimers.