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Notes 3/3 mj

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Question
Answer
Grow slowly and don't metastize   Benign Bone Tumors  
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Cause structure to enlarge and impairs function may reoccur in same spot   Benign Bone Tumors  
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Malignant Bone Tumors   Metastasis is thru the circulatory or lymphatic system  
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Most common site is the lungs   Malignant Bone Tumors  
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Amputation   AKA, BKA, AE, OR BE  
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Greatest danger in post-op period   Hemorrhaging  
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Neuroma   Nerves entangled with scar tissue  
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Hematoma   Blood Clot  
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Elevation of Amputation   Check bleeding on top and under, VS important  
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Break in bone from direct or indirect trauma   Fractures  
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Oblique   break runs along a slant to the length of the bone  
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Comminuted   splintered into fragments  
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Spiral   break that coils around the bone  
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Greenstick   incomplete fracture, common in children  
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Impacted   one bone fragment forcibly wedged against another bone fragment  
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Simple   fracture dthat remains contained, does not break the skin  
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Compound   fracture in which damage also involves the skin or mucous membranes  
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Compression   fracture in which bone has been compressed (vertebral fractures)  
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Avulsion   pulling away of a fragment of bone by a ligament or tendon and its attachments  
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Depressed   fracture in which fragments are driven inward (skull and facial bone)  
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Pathologic   fracture that occurs through an area of diseased bone,  
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Crepitus   grating sound of bone ends moving over one another  
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Fracture healing Stage 1   bleeding occurs immediately with edema, 48 to 72 hrs, hematoma forms between 2 broken ends of bone  
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Fracture healing Stage 2   hematoma does not reabsorb, other cells enter the clot and granulation tissue forms, gradually becoming firm and making a bridge between the 2 broken ends  
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Fracture healing Stage 3   end of 1st wk, granulation tissue turns into callus which is made up from cartilage, osteoblast, calcium and phosphorus  
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Fracture healing Stage 4   2-3 wks, woven bone forms, ends of broken bone begin to knit.  
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Fracture healing Stage 5   Excess bone chiseled away by stress to affected part from motion, exercise and weight bearing. bone takes on original shape and size.  
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Condition where fat globules are released from the bone marrow of the broken bone into the blood stream.   Fat Embolism  
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Fat Embolism   occurs 24-48 hrs after injury, most common in long bone fractures, multiple fractures and severe trauma, can be fatal.  
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Older patient with a hip fracture is at highest risk, respiratory distress is first sign   Fat Embolism  
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Malignant Bone Tumors   abnormal osteoblast or myeloblast that exhibit rapid and uncontrolled growth.  
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Usually found around the knee in the distal femur or proximal fibula with a few found in the proximal humerous.   Malignant Bone Tumors  
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Amputation   Removal of body limbs or parts of limbs  
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