Data Trace Editor – Discussion: – pyridinyl bisphosphonate which is indicated in osteoporosis; – increases bone mineral density; – in the study by McClung, et al, the authors studied 5445 women 70 to 79 years old who had osteoporosis (indicated by a T score for bone mineral density at the femoral neck that … Read more
Procedure-specific risk reduction THA TKA trauma, pelvic fractures, and extremity fractures hip fracture Specific agents for risk reduction apixaban (oral factor Xa inhibitor) Apixaban for Extended Treatment of Venous Thromboembolism aspirin (see role of ASA for DVT prophylaxsis) danaparoid low molecular wt glycosaminoglycan with potent anti factor Xa activity fondaparinux low molecular weight heparins may … Read more
– See: – Unilateral Bar: – Segmented Vertebrae: – Discussion: – many pts have mild curves that are stable for years and then suddenly become severe when the adolescent growth spurt begins; – approx 75% of pts w/ Congenital Scoliosis will show progression, & approx 50% will … Read more
Total hip replacement (THA) overview 40-60% of THA patients who do not receive prophylaxis will get a DVT (dependent on imaging method) reference – Significance of deep venous thrombosis in the lower extremity after total joint arthroplasty. in contrast, the study by Fender, et al. (1997) showed that the incidence of fatal PE (as diagnosed … Read more
– See: – Anatomy of CMC joint – Bennett’s Fracture – Thumb Fractures / Dislocations – Discussion: – described in 1910 by Dr. Rolando; – involves 3 part frx at base of metacarpal; – in addition to volar lip frx (as seen w/ … Read more
– Discussion: – for primary TB, treatment of assymptomatic carriers of N. meningitidis to eliminate meningococci from the nasopharynx; – also used in combination with other agents (cipro, levofloxacin, zyvox) for treatment of staphyloccocus infections; – it inhibits bacterial DNA dependent RNA polymerase activity; – may be especially useful to eradicate … Read more
— QRS > 0.12 sec in Limb leads; — Note: w/ LBBB, MI can’t be accurately; dx’ed on EKG; (can’t identify the Q waves) — Note: the mean QRS Vector and Vent. Hypertrophy Can’t be accurately calculated in the presence of B.B.B. — May represent (pending) MI; – Right B.B.B. (V1,2) Left B.B.B. (V5,6) Lft. … Read more
– Discussion: – 2 subtypes: rim avulsions and rim compression frx; – all knees w/ rim frxs have capsular and collateral ligament injuries; – avulsions of rim of tibial plateau articular surface or compression frx of that rim almost always are accompanied by significant collateral or cruciate ligament injury; – may … Read more
– See: – Caput Ulnae Syndrome – Rheumatoid Hand – Wrist Arthrodesis – Discussion: – wrist involvement w/ RA is common; – findings inlude peri-articular osteoporosis, destructive osteolysis, arthritis of distal RU joint, and carpal arthrosis; – final pattern is … Read more