Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Related Subjects: |Analgesia and Pain management |Sedation and Analgesia on ITU |Neuropathic Pain Management |Codeine |Dihydrocodeine |Diamorphine |Morphine
Cause | Comments |
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Fractured Femur | May be atypical in elderly or those with delirium or dementia. Consider a pathological fracture if trauma minimal. Get an X Ray |
Fractured Pubic ramus | May be atypical in elderly or those with delirium or dementia. Consider a pathological fracture if trauma minimal. Get an X Ray |
Haematoma | Anticoagulants and trauma here. May also be secondary to femoral artery puncture. Watch Hb. May see bruising. |
Necrotising fasciitis | Severe pain from deep within. Develops erythema and necrotic lesions and bullae and grossly raised CK |
Rhabdomyolysis | Muscle aches and and elevated CK. Statins ?? |
Diabetic amyotrophy | Pain and some wasting. It affects the thighs, hips, buttocks and legs |
Abscess | May follow penetrating trauma here or seeding form elsewhere. get an USS and will need drainage |
Proximal DVT | Pain and swelling and venous dilation. Needs USS doppler. |
Arterial occlusion | Pale, cold, painful leg with absent pulses and poor capillary return. Needs urgent vascular review. |
Meralgia paraesthetica | Pregnancy, Obesity. Increased sensitivity and pain over lateral aspect. Needs treatment for neuralgia and possibly local nerve block lateral cutaneous nerve of thigh here |
Fibromyalgia | Localised pain and trigger points usually in a patient with known fibromyalgia |
Bone sarcoma | Localised pain |
Cellulitis | Pain, erythema, margin and may be breaks in skin. Needs antibiotics |
Myositis | Muscle pain - look for rheumatological disease. Check ESR may be weakness. |