Difference between revisions of "Ditzels"

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281 bytes added ,  11:21, 21 March 2013
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==Leg amputation==
==Leg amputation==
===Overview===
===General - overview===
Comes in two basic flavours:
Comes in two basic flavours:
*Above the knee ampuation (AKA).
*Above the knee ampuation (AKA).
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*Infection - see ''[[chronic osteomyelitis]]''.
*Infection - see ''[[chronic osteomyelitis]]''.
*Drug use, e.g. [[cocaine]].<ref name=pmid17059855/>
*Drug use, e.g. [[cocaine]].<ref name=pmid17059855/>
===Sign out===
:See ''[[Ditzels#Atherosclerotic peripheral vascular disease]]''.


==Toe amputation==
==Toe amputation==
===General - overview===
*Like leg ampuations.
*Like leg ampuations.


===Sign out===
===Sign out===
<pre>
:See ''[[Ditzels#Atherosclerotic peripheral vascular disease]]''.
THIRD TOE, RIGHT, AMPUTATION:
- SKIN WITH MARKED DERMAL FIBROSIS.
- MILD ATHEROSCLEROSIS.
- NEGATIVE FOR MALIGNANCY.
</pre>
 
<pre>
SECOND TOE, LEFT, AMPUTATION:
- MODERATE ATHEROSCLEROSIS.
- BONE WITH A FATTY BONE MARROW CAVITY WITH FOCAL FAT NECROSIS AND RARE PLASMA CELLS.
- SKIN WITH FIBROUS DERMIS AND NON-SPECIFIC PERIVASCULAR LYMPHOPLASMACYTIC DERMAL INFILTRATE.
</pre>
 
<pre>
GREAT TOE, LEFT, AMPUTATION:
- GANGRENE.
- SEVERE ATHEROSCLEROSIS.
- ULCERATED SKIN AND CHRONIC ISCHEMIC CHANGES.
- BONE WITH NO SIGNIFICANT PATHOLOGY.
- NEGATIVE FOR MALIGNANCY.
</pre>


==Atherosclerotic peripheral vascular disease==
==Atherosclerotic peripheral vascular disease==
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===Sign out===
===Sign out===
====Leg amputation====
<pre>
<pre>
LEFT LEG, BELOW KNEE AMPUTATION:
LEFT LEG, BELOW KNEE AMPUTATION:
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</pre>
</pre>


====Toe amputation====
=====Mild=====
<pre>
THIRD TOE, RIGHT, AMPUTATION:
- SKIN WITH MARKED DERMAL FIBROSIS.
- MILD ATHEROSCLEROSIS.
- NEGATIVE FOR MALIGNANCY.
</pre>
=====Moderate=====
<pre>
<pre>
SECOND TOE, LEFT, AMPUTATION:
SECOND TOE, LEFT, AMPUTATION:
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</pre>
</pre>


<pre>
SECOND TOE, LEFT, AMPUTATION:
- MODERATE ATHEROSCLEROSIS.
- BONE WITH A FATTY BONE MARROW CAVITY WITH FOCAL FAT NECROSIS AND RARE PLASMA CELLS.
- SKIN WITH FIBROUS DERMIS AND NON-SPECIFIC PERIVASCULAR LYMPHOPLASMACYTIC DERMAL INFILTRATE.
</pre>
=====Severe=====
<pre>
<pre>
SECOND AND THIRD TOE, LEFT, AMPUTATION:
SECOND AND THIRD TOE, LEFT, AMPUTATION:
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- ACUTE AND CHRONIC OSTEOMYELITIS.
- ACUTE AND CHRONIC OSTEOMYELITIS.
- GANGRENE.
- GANGRENE.
</pre>
<pre>
GREAT TOE, LEFT, AMPUTATION:
- GANGRENE.
- SEVERE ATHEROSCLEROSIS.
- ULCERATED SKIN AND CHRONIC ISCHEMIC CHANGES.
- BONE WITH NO SIGNIFICANT PATHOLOGY.
- NEGATIVE FOR MALIGNANCY.
</pre>
</pre>


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