name:-mrs.asha dwivedi. age/sex:-32yrs/f. contact:-7828893145. address:- 140-d firdaus nagar, dig...
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![Page 1: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/1.jpg)
NAME:- Mrs.Asha Dwivedi.
AGE/SEX:- 32yrs/f.
CONTACT:- 7828893145.
ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL.
Height/Weight:- 40kg.
PAST HISTORY:- Pain in both knees last from 2-3 years. B/L THR done in 2013
PRESENT HISTORY:-
Pain in both knees, swelling, difficulty in walking and stair climb.
DIAGNOSIS:- O.A of both knees.
![Page 2: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/2.jpg)
COMPLICATION: Pain, swelling, difficulty in walking.
INVESTIGATION:- Blood Group:-B+ve
EXAMINATION:- Deformity:- Varus.ROM:- SLR:100 + in both Knee Flexion:- lt: 100, rt:95
PLAN FOR:- B/L TKRDATE OF SURGERY:TIME:-DURATION:-
1/1/2015.11:00am.3hrs.
OPERATIVE DETAILS:
Anesthesia: SA.Approach: Medial parapatellar arthotomy.Blood Loss:
IMPLANT:- Zimmer:-LT:- FC: C , TC: 3 , Spacer: 10mm, Palacos R 1×40g.RT:-FC: C , TC: 3 , Spacer: 10mm, Palacos R 1×40g
DRAIN:-
BLOOD TRANSFUSION:
1st PO:- LT: 600 , RT:620.
One unit pre op.One unit post op.
![Page 3: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/3.jpg)
X-RAY
![Page 4: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/4.jpg)
X-RAY:-
PRE OP: PO OP:
![Page 5: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/5.jpg)
SCANO:-
PRE OP: PO OP:
![Page 6: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/6.jpg)
VIDEO:-
PRE OP: PO OP:
![Page 7: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/7.jpg)
NAME:- Mrs.Kiran Mishra
AGE/SEX:- 34yrs/f.
CONTACT:- 8827521706.
ADDRESS:- C-44,Subhas colony,Govindpura BHOPAL.
Height/Weight:- 40kg.
PAST HISTORY:- Pain in all four joints last from 5-6 years.
PRESENT HISTORY:-
Pain in all four joints, swelling, difficulty in walking ,unable to stair climb.
MEDICAL HISTORY:-
no
DIAGNOSIS:- R.A of all four joints.
PLAN FOR:- B/L TKR/THR
![Page 8: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/8.jpg)
COMPLICATION: Pain, swelling, difficulty in walking.
INVESTIGATION:- Blood Group:-B+ve
EXAMINATION:- Deformity:- Varus.ROM:- SLR:lt: 50, rt:55 Knee Flexion:- lt: 90, rt:95
DATE OF SURGERY:
DURATION:-
B/L TKR:-4/2/2013B/L THR:-1/3/20133hrs.
OPERATIVE DETAILS: Anesthesia: SA.Approach: Medial parapatellar arthotomy.(B/L TKR) Posterolateral.(B/L THR)
DRAIN:-
BLOOD TRANSFUSION:
1st PO:- LT: 650 , RT:650.
ONE unit pre op. One unit post op.
![Page 9: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/9.jpg)
X-RAY:-
PRE OP: PO OP:
![Page 10: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/10.jpg)
Scano:-
Pre op: Po op:
![Page 11: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/11.jpg)
VIDEO:-
PRE OP: PO OP:
![Page 12: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/12.jpg)
NAME:- Mrs. Prabha Mishra.
AGE/SEX:- 52yrs/f.
CONTACT:- 9425692375.
ADDRESS:- Near central temple, sadar bazaar BHOPAL.
Height/Weight:- 54kg.
PAST HISTORY:- Pain in both lower limb, more in lt knee last from 3-4 years.B/L THR done:-16/4/2014Lt TKR done:-13/3/2015:-
PRESENT HISTORY:-
Pain in both knees, but more in lt, difficulty in walking , unable to stair climb.
Pain in rt knee joint, swelling, difficulty in walking.
DIAGNOSIS:- O.A of right knee.
![Page 13: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/13.jpg)
COMPLICATION: Pain, swelling, difficulty in walking.
INVESTIGATION:- Blood Group:- A+ve
EXAMINATION:- Deformity:- Varus.ROM:- SLR: Knee Flexion:
PLAN FOR:- Lt TKR and Lt THRRt TKR
DATE OF SURGERY:TIME:-DURATION:-
LT TKR:-24/4/2014 , RT TKR:-13/3/201511:00am.1hrs.
OPERATIVE DETAILS: Anesthesia: SA.Approach: Medial parapatellar arthotomy.Blood Loss:
IMPLANT:- LT:- FC: 2.5, MTT: 3, TC: 3 insert 8mm, Bone cement: 40g.RT:-FC: C , TC: 2 , Spacer: 10mm, Palacos R 1×40g
DRAIN:-BLOOD TRANSFUSION:
TWO Unit post op.
![Page 14: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/14.jpg)
X-ray pics:-
![Page 15: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/15.jpg)
Scano:-
PRE OP: PO OP:-
![Page 16: NAME:-Mrs.Asha Dwivedi. AGE/SEX:-32yrs/f. CONTACT:-7828893145. ADDRESS:- 140-D Firdaus nagar, DIG Bunglow Berasia BHOPAL. Height/Weight:-40kg. PAST HISTORY:-Pain](https://reader035.vdocuments.site/reader035/viewer/2022062401/5a4d1b7c7f8b9ab0599b96a2/html5/thumbnails/16.jpg)
VIDEO:-
PRE OP: PO OP: