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MAKING
Avoiding to decide?
STEPS IN DECISION MAKING
Thorough, relevant clinical examination
Establishment of a clinical diagnosis or an
etiological category.
Urgency of the situation
Relevance and feasibility of investigations
Best modality of treatment
STEP 1- ESTABLISHING THE
AETIOLOGY
THE BASIC CAUSE OF THE CONDITION.
CONGENITAL?
INFECTIVE? \INFLAMMATORY?
TRAUMATIC/ SUPERIMPOSED
TRAUMA?
NEOPLASTIC?
Other?
ARE YOU SURE?
If yes- Plan the definitive treatment
If not, at least decide the broad
categories.
Infective or neoplastic?
Traumatic or infective?
Congenital or acquired?
Localized or generalized?
Deciding to investigate
Aims of investigation- Confirmation of
diagnostic suspicion
Assessing the biology of the condition
Planning the treatment
Choose only the most relevant, simplest
investigations. (X ray?)
Precise requisition
‘BATTERY OF INVETIGATIONS’
Interrelated systemic disease
conditions
Middle path
When to withhold the knife?
‘trendy surgery’
Common targets of both
modalities of treatments
Restoration of a stable, painless,
mobile limb without deformity.
Prevention of delayed complications
and Secondary changes
Prevention of reactivation of the
disease process
Therapeutics in Orthopaedics
Are Orthopods bad Physicians?
Where do you need drugs?
Pain Relief
Infection prevension and control
Disease specific drugs
Sedatives
OTHER DRUGS
Supportive therapy
Anti osteoporotic
Antidiabetics
Antihypertensives
Antitubercular
Antihelminthics