2007年3月12日 星期一

30 y/o male, ext ear laceration for 2 sites



Two laceration wound at his left external ear. xylocain for anesthesia is difficult in such case because soft bone could not absorb anesthesia easily. I put a cotton ball inside his left ear and told him to keep it in place for compression.



Right eyebrow laceration wound

He refused to shae his right eyebrow. The wound looked like a mouth of a woman.

65 y/o female hit at back hx50824527


r/o spondylosis of lumbar spine? or 脊椎沾黏

54 y/o female right shoulder pain, falling from her bicycle down the hill



Right shoulder pain

X ray: fracture of greater tuberosity with mild displacement about 5mm(Neer type 1). No emergent operation is indicated because of the displacement is less than 1cm. Shoulder splint(sugar tong shape) is supported for her shoulder pain, Dr:蔣岳峰: keep splint for 3 weeks and check x ray if poor healing of displacement is present, then operation is considered.(probability:10-20%) history number:50824499