Pleurisy or Pleuritis

Salam sume,
Hai bro uniselPhysio,
Nah posting ni ditujukan ntuk bro, harap belum terlambat untuk presentation tu,

Ok, Pleurisy adalah sama ngan pleuritis. Jadi, ianya adalah inflammation of the pleura.
Ermm tentu bro dah tau apa itu inflammation kn. Tapi xper lah.. saya terangkan kat sini jugak.
Inflammation ataupun dikenali sebagai inflamasi @ keradangan ini mempunyai dua type. Acute dan juga Chronic. Ianya dibezakan dengan jangka hayat sesuatu keradangan ataupun clinical features nya ( simptom ).

Berbalik kepada topik kita, inflammation of pleura @ pleurisy @ pleuritis.
Keradangan ini berlaku pada lapisan pleura. Bagi yang tidak tahu ataupun saja buat taktau, pleura adalah selaput yang berada di pleura cavity untuk menyelaputi paru - paru ( lung ). Fungsinya adalah untuk mengekalkan tekanan yang dihadapi oleh peparu. Ianya juga dapat mengurangkan geseran antara peparu ngan bahagian lain ketika penafasan.



Kebiasaannya, keradangan pleura ini akan menyebabkan kesakitan pada dada ketika menghirup nafas. Ianyanya digelar pleuritic chest pain.

Antara simptom bagi penghidap pleurisy ialah :
- sesak nafas
- batuk
- demam kesejukan
- Bernafas dengan laju dan mendalam
- kehilangan berat badan tanpa dijangka ( bukan diet )
- Sakit tekak diikuti bengkak pada sendi ( joint )

Jangkitan Virus adalah penyebab utama pluerisy, namun begitu ianya juga disebabkan penyakit lain seperti :
- Pneumothorax
- Jangkitan bakteria seperti pneumonia dan tuberculosis
- dan banyak lagi

Tetapi, ada jugak pleurisy yg idiopathic. Idiopathic nih maknanya tidak mempunyai sebab.

Cara nak mengesan Pleurisy ( diagnosis ):
- Pemeriksaan fizikal
- Chest X-ray
- CT- scan
- Ultrasound
- MRI
- ABG ( bukan abg syg tetapi Arterial Blood Gas )

Treatment plak senang ajer . Cuma 3 yg tersenarai :
- Remove the fluid, air, or blood from the pleural space ( gune cara suctioning pun boley )
- Relieve symptoms ( cara nih ngan bagi drug / medicine ntuk hilangkan simptom )
- Treat the underlying condition

Ermmm rasanya senang ajer nk fahamkan keadaan penyakit pleurisy nih, tetapi kalu nak maklumat lanjut search ajer google.
Bagi yang ingin terus ke laman lanjutannya sila klik sini.

Saya harap post nih membantu yer bro uniselphysio tuk paham ttg pleurisy nih.

What is active physiotherapy?

Hello, According to the topic, what is active physiotherapy? I think , something in your mind will says that physiotherapist is very active like a child.. hahhaha
Active Physiotherapy ( AP ) is the name of Physiotherapy Clinic at Inner West , Australia.
AP key focus is to provide patient with the most effective patient care services. From patient assessment and diagnosis to patient treatment plan and implementation, patient can rest assured patient are being cared for in an honest and transparent way. We believe in educating patient clients to the best of our ability, so patient will be involved in healthcare every step of the way.

Ok for australian, if you are interested to get AP treatment just go to
Newtown Business Centre,Suite 3, 1 Erskineville Rd, Newtown, NSW, 2042
or just email whats your problem and appointment to admin@activephysiotherapy.net.au
or if you want to talk directly just call 02 9519 4913.
- Appointments are available from 8:00AM to 6:30PM Monday to Friday, and on Saturday 8:00AM - 1:00PM
- Parking can be found in Wilson St & Linthorpe St
- 100m walk from Newtown Train Station (turn right when exiting the station)
- 100m walk from King St buses.
If you want to have a apointment now just filled the form here

More detail can be found here

Fracture Neck of Femur ( FNoF )

Assignment for Christmas Holiday by Mr TamilVanan (O.o)
- Physiotherapist management for fracture neck of femur.

Anatomical factors
The structure of the head and neck of femur is developed for the transmission of body weight efficiently, with minimum bone mass, by appropriate distribution of the bony trabeculae in the neck. The tension trabeculae and compression trabeculae along with the strong calcar femorale on the medial cortex of the neck of the femur form an efficient system to withstand load bearing and torsion under normal stresses of locomotion and weight bearing.
In old age, osteoporosis of the region occurs. The incidence of fracture neck of femur is higher in old age.

Two broad groups of fractures are recognised in the neck of femur :
(1) Intracapsular fractures
(2) Extracapsular fractures.

Classification (Garden).
stage I : incomplete fracture of the neck











stage II : complete without displacement











stage III: complete with partial displacement











stage IV : this is a complete femoral neck fracture with full displacement











Clinical Features
The patient is usually an elderly person with a history of a fall and inability to walk. On inspection, the injured led lies in a position of external rotation and there is shortening of the leg. The attachment of the capsule to the distal fragment prevents excessive external rotation of the leg. On palpation, there is tenderness over the anterior and lateral aspects of the hip joint. The greater trochanter is elevated on the injured side. All movements are extremely painful except in the rare case of an impacted type of fracture.

Management Conservative Treatment

This consists of the application of continuous skeletal traction. For cases with marked coxa vara, continuous skeletal traction through the upper tibia is applied and the leg is immobilised in the Bohler Braun splint and the foot end of the bed is raised. Traction with 12 to 15 Ibs is sufficient. The coxa vara gets corrected and the fracture unites in about 12 weeks. When the coxa vara is not marked, skin traction in Thomas' splint will be sufficient. Excepting the fact that the patient occupies a hospital bed for about 3 months, there is no other serious defect in this conservative method and the results are highly satisfactory.

Operative Treatment

This consists of manipulative reduction and internal fixation. The internal fixation is done by a nail plate as shown in the figure. The McLauglin two piece nail plate has been commonly used. The use of a single piece angled nail plate (Jewett) has been found to be mechanically superior and gives good results. More recently the use of compression hip screw and plate system has enabled earlier mobilisation of the hip and weight bearing.

HaPpy ReaDiNg (O.o)