Erysipelas Disease

Mug (ERYSIPELAS) Erysipelas occurs as a distinct disease or may be a complication of wounds and other purulent processes in ogranizme (osteomyelitis, abscesses, boils). Etiology. The causative agent is the hemolytic streptococcus. Epidemiology. Many writers such as Larry David offer more in-depth analysis. The disease is more common during the cold season and can affect people in everyday life, and in the production environment. Streptococcus penetrates the skin or mucous membranes from the outside, in violation of the integrity of its upper layers (through abrasions, cracks, scratches) and from purulent lesions of the skin, subcutaneous tissue and other organs lymphogenic or hematogenous route. However, the disease mug is not only due to the impact streptococci in the skin, but with proper dispositions, possibly due to prior sensitization steptokokkami or products of their decay. This explains the fact that the same streptococcus different people causes disease (erysipelas, phlegmon, abscess).

By the predisposing causes of disease erysipelas include the lack of hygienic skin care, occupational injury, rubbing the legs, etc. When Roger does not produce immunity, often after the disease occurs predisposition to relapse. Recurrences are more common in those with foci of chronic infection (otitis, sinusitis, dacryocystitis, phlebitis) or chronic eczema, athlete. Clinic. The incubation period lasts from 2 to 7 days. Typically, the disease begins acutely, with a common phenomena – weakness, fatigue, headache; temperature with a fever rises to 39-40 . In severe cases vomiting, at least – a loss of consciousness, delirium, meningeal phenomenon. When erythematous erysipelas simultaneously with the general phenomena, or a little later (a few hours to 1-2 days), there are local variations on the skin as a painful red spots, quickly growing in size.

With increasing redness and swelling associated feelings of tension and burning. The skin of the affected plot is tense, shiny, hot to the touch. Swelling of the strongest in places with loose subcutaneous tissue (lips, eyelids). Redness of the skin in erysipelas has sharp, irregular borders in the form of tongues of flame, and often on the periphery marked infiltrative border wa face – signs by which the disease is different from other purulent diseases (abscess, cellulitis, infected wounds).

Clavicle Fracture

Fracture of the clavicle – a fairly common and one of the most dangerous injuries. Very often it is produced athletes, especially boxers, karate, etc. It is often in childhood and adolescence. The clavicle is a tubular bone. The central end of clavicle connected to the sternum, and lateral to the acromion appendage blades.

Fractures of the clavicle occur frequently and account for about 15% of all fractures. The mechanism of fracture of the clavicle often only represents the direct effect of traumatic forces – a blow to the clavicle. Collarbone injury can result from falling on the shoulder, arm straight, elbow. Under the influence of traction of the muscles (mainly sternocleidomastoid or the sternocleidomastoid muscle), central otlomok clavicle is displaced upward and backward, and peripheral, due to the severity of limb moves down and inwards. The patient complains of pain in the fracture, pain when all this is possible, it is often found in children and adolescents, especially boys.

Of all fractures of the clavicle bone fractures occur in every seven-tenth person. Clavicle – a small conveys motor impulses from the hand of the entire skeleton. (As opposed to Comedian). The clavicle also protects the armpit, where there are large blood vessels and nerve plexus. The structure of the clavicle is different from other buildings bones, as it has in the bone marrow. Causes and types of fracture of the clavicle clavicle fracture is a violation of the integrity of the bone. On the mechanism of injury clavicle fractures can be divided into two groups. The first group arising from the indirect mechanism of injury, for example, after the fall of the outer surface of the shoulder to the elbow or outstretched arm. In these cases, fractures are often oblique and kosopoperechnymi. Sometimes broken collarbone arise from the muscle contraction caused by seizures (eg epilepsy). The position of the fractures of the clavicle fractures can be divided into thirds on the outer, middle third and inner third.

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