NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG...

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NAME:- Mrs.Asha Dwivedi. AGE/SEX:- 32yrs/f. CONTACT:- 7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/ Weight:- 40kg. PAST HISTORY:- Pain in both knees last from 2-3 years. B/L THR done in 2013 PRESENT HISTORY:- Pain in both knees, swelling, difficulty in walking and stair climb. DIAGNOSIS:- O.A of both knees.

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Transcript of NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG...

Page 1: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

NAME:- Mrs.Asha Dwivedi.

AGE/SEX:- 32yrs/f.

CONTACT:- 7828893145.

ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL.

Height/Weight:- 40kg.

PAST HISTORY:- Pain in both knees last from 2-3 years. B/L THR done in 2013

PRESENT HISTORY:-

Pain in both knees, swelling, difficulty in walking and stair climb.

DIAGNOSIS:- O.A of both knees.

Page 2: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

COMPLICATION: Pain, swelling, difficulty in walking.

INVESTIGATION:- Blood Group:-B+ve

EXAMINATION:- Deformity:- Varus.ROM:- SLR:100 + in both Knee Flexion:- lt: 100, rt:95

PLAN FOR:- B/L TKRDATE OF SURGERY:TIME:-DURATION:-

1/1/2015.11:00am.3hrs.

OPERATIVE DETAILS:

Anesthesia: SA.Approach: Medial parapatellar arthotomy.Blood Loss:

IMPLANT:- Zimmer:-LT:- FC: C , TC: 3 , Spacer: 10mm, Palacos R 1×40g.RT:-FC: C , TC: 3 , Spacer: 10mm, Palacos R 1×40g

DRAIN:-

BLOOD TRANSFUSION:

1st PO:- LT: 600 , RT:620.

One unit pre op.One unit post op.

Page 3: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

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Page 4: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

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Page 5: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

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Page 6: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

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Page 7: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

NAME:- Mrs.Kiran Mishra

AGE/SEX:- 34yrs/f.

CONTACT:- 8827521706.

ADDRESS:- C-44,Subhas colony,Govindpura BHOPAL.

Height/Weight:- 40kg.

PAST HISTORY:- Pain in all four joints last from 5-6 years.

PRESENT HISTORY:-

Pain in all four joints, swelling, difficulty in walking ,unable to stair climb.

MEDICAL HISTORY:-

no

DIAGNOSIS:- R.A of all four joints.

PLAN FOR:- B/L TKR/THR

Page 8: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

COMPLICATION: Pain, swelling, difficulty in walking.

INVESTIGATION:- Blood Group:-B+ve

EXAMINATION:- Deformity:- Varus.ROM:- SLR:lt: 50, rt:55 Knee Flexion:- lt: 90, rt:95

DATE OF SURGERY:

DURATION:-

B/L TKR:-4/2/2013B/L THR:-1/3/20133hrs.

OPERATIVE DETAILS: Anesthesia: SA.Approach: Medial parapatellar arthotomy.(B/L TKR) Posterolateral.(B/L THR)

DRAIN:-

BLOOD TRANSFUSION:

1st PO:- LT: 650 , RT:650.

ONE unit pre op. One unit post op.

Page 9: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

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Page 10: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

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Page 11: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

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Page 12: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

NAME:- Mrs. Prabha Mishra.

AGE/SEX:- 52yrs/f.

CONTACT:- 9425692375.

ADDRESS:- Near central temple, sadar bazaar BHOPAL.

Height/Weight:- 54kg.

PAST HISTORY:- Pain in both lower limb, more in lt knee last from 3-4 years.B/L THR done:-16/4/2014Lt TKR done:-13/3/2015:-

PRESENT HISTORY:-

Pain in both knees, but more in lt, difficulty in walking , unable to stair climb.

Pain in rt knee joint, swelling, difficulty in walking.

DIAGNOSIS:- O.A of right knee.

Page 13: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

COMPLICATION: Pain, swelling, difficulty in walking.

INVESTIGATION:- Blood Group:- A+ve

EXAMINATION:- Deformity:- Varus.ROM:- SLR: Knee Flexion:

PLAN FOR:- Lt TKR and Lt THRRt TKR

DATE OF SURGERY:TIME:-DURATION:-

LT TKR:-24/4/2014 , RT TKR:-13/3/201511:00am.1hrs.

OPERATIVE DETAILS: Anesthesia: SA.Approach: Medial parapatellar arthotomy.Blood Loss:

IMPLANT:- LT:- FC: 2.5, MTT: 3, TC: 3 insert 8mm, Bone cement: 40g.RT:-FC: C , TC: 2 , Spacer: 10mm, Palacos R 1×40g

DRAIN:-BLOOD TRANSFUSION:

TWO Unit post op.

Page 14: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

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Page 15: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

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Page 16: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain.

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