Non-accidental Injury (nai): From 1 Different Sources
(See also CHILD ABUSE). Though NAI has traditionally been seen as abuse against children – and they are still the main victims – such injuries can also be in?icted on vulnerable adults. Adults with learning diffculties, dementias or physical disabilities su?ciently serious as to require institutional care (or who make heavy demands on relatives) are sometimes the victims of NAI. Health professionals, social workers and relatives should bear this possibility in mind when discovering unusual, severe or repeated bruising or fractures in vulnerable adults, even in circumstances where NAI may seem unlikely. (See also MUNCHAUSEN’S SYNDROME; PAEDOPHILIA.)
A common practice in schoolchildren, most of whom gradually give it up as they approach adolescence. Too much signi?cance should therefore not be attached to it; in itself it does no harm, and punishment or restraining devices are not needed. It is a manifestation of tension or insecurity, the cause of which should be removed. In some people the habit is carried into adulthood.... nail-biting
An injury to the neck region caused by the neck being forcibly bent backwards and forwards (or the other way around). Car accidents are a common cause, when a driver or passenger is suddenly decelerated. The injury usually affects the ligaments, spinal joints and soft tissues of the neck. Subluxation (partial dislocation) of a cervical joint sometimes occurs and cervical vertebra may occasionally be fractured if the forces are severe. Pain and sti?ness of the neck result and these may worsen after a day or so. Treatment includes immobilisation of the neck in a collar, and analgesic and muscle-relaxing drugs. PHYSIOTHERAPY may be necessary. The patient usually recovers fully but may take several weeks to do so.... whiplash injury
Accidental perforation of the skin by an injection needle, commonly of the hand or ?nger and usually by a nurse or doctor administering a therapeutic injection. The term also refers to accidental injuries from injection needles discarded by drug abusers. Dangerous infections such as viral HEPATITIS or HIV may be acquired from needle-stick injuries, and there are strict procedures about the disposal of used syringes and needles in medical settings.... needle-stick injury
See child abuse.... nonaccidental injury
(RSI) An overuse injury that affects keyboard workers and musicians, causing weakness and pain in the wrists and fingers.... repetitive strain injury
A splitting of the skin (cuticle) at the side of a ?ngernail. In manual workers it is usually caused by trauma, but ISCHAEMIA of the ?ngers (see also RAYNAUD’S DISEASE) may predispose to the condition. Secondary infection and in?ammation may make hang-nail a very tender condition; treatment consists of reducing trauma, and the use of EMOLLIENTS and ANTIBIOTICS if necessary.... hang-nail
Negative effect resulting from a medical treatment.... iatrogenic illness (or injury)
A surgical nail inserted into the medulla of a fractured bone to ?xate it. First introduced by a 20th-century German surgeon.... kuntscher nail
(Greek) A water nymph Naiadia, Naidah, Nyad, Nayad, Naiad, Nyada, Nayada, Niadah, Naeda, Naedah... naida
(Arabic) Feminine form of Nail; a successful woman; the acquirer Na’ila, Na’ilah, Naa’ilah, Naila, Nayla, Naylah, Naela, Naelah... nailah
(Scottish) From the alder-tree river Naime, Nairnia, Nairnea, Naerna, Nayrna... nairna
An acute inflammation of the eye resulting from an irritant secreted by beetles of the genus Paederus, getting onto the eye.... nairobi eye
See UPPER LIMB DISORDERS.... repetitive strain injury (rsi)
Trauma Injury to the urethra is often the result of severe trauma to the pelvis – for example, in a car accident or as the result of a fall. Trauma can also result from catheter insertion (see CATHETERS) or the insertion of foreign bodies into the urethra. The signs are the inability to pass urine, and blood at the exit of the urethra. The major complication of trauma is the development of a urethral stricture (see below).
Urethritis is in?ammation of the urethra from infection.
Causes The sexually transmitted disease GONORRHOEA affects the urethra, mainly in men, and causes severe in?ammation and urethritis. Non-speci?c urethritis (NSU) is an in?ammation of the urethra caused by one of many di?erent micro-organisms including BACTERIA, YEAST and CHLAMYDIA.
Symptoms The classic signs and symptoms are a urethral discharge associated with urethral pain, particularly on micturition (passing urine), and DYSURIA.
Treatment This involves taking urethral swabs, culturing the causative organism and treating it with the appropriate antibiotic. The complications of urethritis include stricture formation.
Stricture This is an abrupt narrowing of the urethra at one or more places. Strictures can be a result of trauma or infection or a congenital abnormality from birth. Rarely, tumours can cause strictures.
Symptoms The usual presenting complaint is one of a slow urinary stream. Other symptoms include hesitancy of micturition, variable stream and terminal dribbling. Measurement of the urine ?ow rate may help in the diagnosis, but often strictures are detected during cystoscopy (see CYSTOSCOPE).
Treatment The traditional treatment was the periodic dilation of the strictures with ‘sounds’
– solid metal rods passed into the urethra. However, a more permanent solution is achieved by cutting the stricture with an endoscopic knife (optical urethrotomy). For more complicated long or multiple strictures, an open operation (urethroplasty) is required.... urethra, diseases of and injury to
Nail loss. Paronychia. Clubbing. Brittle nails. Deformity (koilonychia). Spoon-shaped, as from iron-deficiency anaemia. A wide range of diseases affect the nails which, themselves, provide useful clues to underlying constitutional disturbance. Brittle and malformed nails are usually due to mineral deficiency. Ridging and grooving show altered nutrition and damage to the nail bed. Psoriasis nails are pitted.
Infections include candidiasis (monilia), ringworm, staphylococcal or streptococcal bacteria. Biting of fingernails reveals anxiety. Colour change and atrophy of nails may be caused by antibiotics, antimalarials, betablockers, gold and arsenic medicines, steroids, “The Pill”; requiring Eliminatives, liver, kidney and possibly Lymphatic agents.
For in-growing toenail – see entry.
Alternatives. General, internal. For antifungals, see: WHITLOW. Mineral-rich herbs for nutrition.
Teas: Alfalfa, Carragheen, Horsetail, Gotu Kola, Red Clover, Oats (for silicon salts), Plantain, Silverweed, Clivers, Dandelion.
Decoctions: Yellow Dock, Burdock, Sarsaparilla, Queen’s Delight.
Tablets or capsules: Alfalfa. Kelp. Bamboo gum.
Formula. Horsetail 2; Gotu Kola 1; Thuja quarter. Dose: Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon). Thrice daily.
Cider Vinegar, See entry. Efficacy recorded.
Topical. Alternatives:– Apply to the nail:
(1) Liquid Extract or Tincture Thuja. (Ellingwood)
(2) Blood root. (J.T Kent MD)
(3) Evening Primrose oil.
(4) Contents of a Vitamin E capsule.
(5) Tincture Myrrh.
Diet. Nails are almost wholly protein. High protein. Onions, Garlic, Soya products, Carrot juice, Cod Liver oil, Kelp.
Vitamins. A. B-complex. B6. B12. Folic acid.
Minerals. Calcium. Dolomite. Copper. Iron. Silica. Stannum, Zinc. ... nails
Damage sustained during birth. Minor injuries, such as bruising and swelling of the scalp during a vaginal delivery (see cephalhaematoma) are common. More serious injury can occur, particularly if the baby is excessively large and has difficulty in passing through the birth canal. A breech delivery may result in injury to nerves in the shoulder, causing temporary paralysis in the arm. The face may be paralysed temporarily if the facial nerve is traumatized by forceps. Fractured bones are another hazard of difficult deliveries, but the bones usually heal easily. (See also birth defects; brain damage.)... birth injury
Accidental puncture of the skin by a contaminated hypodermic needle. Hospital staff are most likely to be at risk. Needlestick injuries carry the risk of serious infections, such as HIV and hepatitis, and need immediate attention. The wound should be cleaned thoroughly; blood tests may be needed to determine whether infection has been transmitted.... needlestick injury
Damage to the tissues (see ligament; tendon; muscle) that surround bones and joints.... soft-tissue injury
a quick method for determining the severity of a case of serious trauma. It can be used for purposes of *triage and *clinical audit.... abbreviated injury scale
see AKI.... acute kidney injury
(injury severity scale, ISS) a system used, particularly in *triage, for grading the severity of an injury. See also abbreviated injury scale.... injury scoring system
n. see Küntscher nail.... k-nail
(K-nail) a metal rod that is inserted down the middle of the femur (thigh bone) to stabilize a transverse fracture of the shaft. [G. Küntscher (1902–72), German orthopaedic surgeon]... küntscher nail
(OASIS) a spectrum of injuries that encompasses both third- and fourth-degree *perineal tears. Injury to the anal sphincter mechanism during childbirth may arise secondarily to direct disruption of the sphincter muscles and/or traction of the pudendal nerves. Disruption of the anal sphincter muscles is best assessed by anal ultrasound examination. This is usually performed using a high-frequency (10 MHz) endoanal probe. In selected cases with complex injury and/or suspected rectovaginal *fistula, magnetic resonance imaging (MRI) may also be employed.... obstetric anal sphincter injury
a penetrating injury by a ski stick.... ski-stick injury
any injury related to the practice of a sport, often resulting from the overuse and stretching of muscles, tendons, and ligaments.... sports injury
(TBI) injury to the brain due to external force, such as occurs following falls, road traffic accidents, and violence. It is a major cause of death and chronic disability worldwide, especially in young males.... traumatic brain injury
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