II. Aims of the lesson

1. To know features of the surgical anatomy of fingers and hand which matter for a course, a diagnostics, a treatment of panaritium and phlegmon of a hand (α=ІІ).

2. To know classification of panaritiums and phlegmon of a hand (α=ІІ).

3. To know an etiology, a pathogenesis, clinical signs and features of course of different forms of panaritium and phlegmons of a hand, methods of a diagnostics of a panaritium and phlegmons of a hand (α=ІІ).

4. To master indications to conservative and operative treatment of the panaritium and phlegmon of the hand (α=ІІ).

5. To know methods of anaesthetizing and operative attacks at different forms of the panaritium and phlegmons of the hand (α=ІІ).

6. To master the technique of the implementation of research by the bulbous-end bougie allowing to differentiate different forms of the panaritium and phlegmon of the hand. (α=ІІ).

7. Can to conduct differential diagnostics of panaritiums and phlegmons of the hand| with other purulent-inflammatory processes of soft tissues which can be localized on a finger or hand (α=ІІ).

8. Can to choose the method of an anaesthetizing and method of surgical attack at different forms of panaritiums and phlegmons of a hand (α=ІІ).

ІII. Providing of the initial level of knowledge

Literature:

4. Butursky A. “General surgery”. (Simferopol 2004)

5. S. I. Shevchenko; A. A. Tolkoglas and etc. “Surgery” (Kharkov 2004)

6. Methodical pointing

Tests for verification of the initial level of knowledge

1. A paronychia is an inflammation of:

A. All tissues of a finger

B. A periungual roller (+)

C. A nail bed

D. An interphalangeal joint

E. A tendinous vagina of a finger

2. It doesn't the form of the panaritium:

A. Cartilaginous (+)

B. Hypodermic

C. Bone

D. Arthral

Д. Dermic

3. Pandactylitis is purulent inflammation of:

A. A nail plate

B. Hypoderm

C. A periungual roller

D. A tendinous vagina of a finger

E. All tissues of a finger (+)

4. It is the panaritium in form cuff-link:

A. A hypodermic panaritium with a breach leaving of the pus under an epidermis (+)

B. A tendinous panaritium

C. A paronychia

D. A bone panaritium

E. A purulent melting of all tissues of the finger

5. It isn't the complication of hypodermic panaritium of the ІІІ finger of the hand:

A. A tendinous panaritium

B. A bone panaritium

C. An arthral panaritium

D. A miner's elbow (+)

Д. A phlegmon of forearm

6. The panaritium of the І finger can be complicated:

A. By the phlegmon of tenor (+)

B. By the phlegmon of hypotenor

C. By the V-like phlegmon of the hand (+)

D. By the phlegmon of the middle space of the hand

E. By the phlegmon of the shoulder

7. There are the following clinical forms of a panaritium:

A. Gangrenous

B. Fatty

C. Phlegmon

D. Bone (+)

E. Dermic (+)

8. There are the following clinical forms of a panaritium:

A. Tubercular

B. Osteoarticular (+)

C. Septic

D. Arthral (+)

E. Posttraumatic

9. The symptom of a bony crepitus at palpation of the finger can specify on:

A. Presence of the osteoarticular form of the panaritium (+)

B. Presence of hypodermic form of the panaritium

C. Presence of the tendinous panaritium

D. Presence of the lymphatic panaritium

E. Presence of the arthral form of the panaritium (+)

10. The differential diagnostics of the panaritium is conducted with:

A. A phlegmon

B. An erysipelatous inflammation (+)

C. A polyarthritis (+)

D. A lymphadenitis

E. A fracture

11. It is used for diagnostics of a panaritium:

A. Determination of a crepitation at the palpation (+)

B. Determination of a local increase of the temperature

C. Determination of the relative and absolute length of finger

D. Determination of areas of sickliness by the bulbous-end probe (+)

E. Determination of sensitiveness of the skin on a finger

12. It is possible to apply in the postoperative period at the treatment of osseous form of the panaritium:

A. The multicomponent method

B. The open-end method

C. The method of a skeletal extraction

D. The closed method (+)

E. The half-open method (+)

13. The phlegmon of Pirogov-Paron's space can develop as a result:

А. The tendinous panaritium of the І finger (+)

B. The agnail of the ІІІ finger

C. The tendinous panaritium of the ІІ finger

D. The subcutaneous panaritium of the І finger

E. The purulent thecitis of the V finger (+)

14. A phlegmon of a hand can be:

A. Catarrhal phlegmon

B. Commissural phlegmon (+)

C. Phlegmon of tenor (+)

D. Basal phlegmon

E. Phlegmon of the lateral space

15. A phlegmon of the hand can be:

A. Phlegmon of the deep space

B. Phlegmon of the antithenar (+)

C. Basal phlegmon

D. Subaponeurosis phlegmon of the rear of the hand (+)

E. Phlegmon of the medial space

16. A phlegmon of a hand can be:

A. Phlegmon of rise of the ІІІ finger

B. Phlegmon of the middle space (+)

C. Phlegmon of the lateral space

D. Catarrhal phlegmon

E. V-like phlegmon (+)

17. It is the site of entry for a development of a commissural phlegmon of the hand:

A. The erysipelas of the palm surface of the hand

B. The callosity of the skin with the presence of chaps on palm's surface of the hand (+)

C. The furuncle of the palm's surface of the hand

D. The carbuncle of the palm's surface of the hand

E. The aquatic callus of the palm's surface of the hand (+)

18. What do tendon vaginas of the fingers of the hand end blindly on the level of the palm's corrugation?

A. Tendon vaginas of the ІІ finger (+)

B. Tendon vaginas of the І and ІІ fingers

C. Tendon vaginas of the V finger

D. Tendon vaginas of the ІІІ finger (+)

E. Tendon vaginas of the IV and V fingers

19. It is the anatomical pre-condition for the fast development of a defeat of the bone at a panaritium in the area of nail phalanx:

A. The bone of nail phalanx hasn't a separate nourishing artery (+)

B. The bone of nail phalanx has a slender endosteal channel

C. The bone of nail phalanx has a thick periosteum

D. The bone of nail phalanx is spongy (+)

E. The bone of nail phalanx has bad innervation