Ortho Oracle - orthopaedic operative atlas

Physical Therapy after RTC Repair

   Incidence and treatment of postoperative stiffness following arthroscopic rotator cuff repair. Does slower rehabilitation after arthroscopic rotator cuff repair lead to long-term stiffness? Subacromial pressures vary with simulated sleep positions. Shoulder kinematics during the wall push-up plus exercise.    

Psuedohyponatremia: Criteria

a) Demonstrating a normal serum osmolality in the presence of hyperlipidemia or hyperproteinemia;  b) Demonstrating a significant ( >10 mmol/kg) osmolar gap, indicating the presence of additional osmotically active solutes, which can falsely lower the serum sodium level;  This is done by having the lab measure serum osmolality

Pseudohypoparathyroidism

-See:      – Hypoparathyroidism:      – Actions of PTH: – Discussion:     – lack of responsiveness to PTH due to defect in adenyl cyclase;     – clinical picture may resemble of hypoparathyroidism;     – due to inability of bone & kidney to respond to parathyroid hormone, hypocalcemia and hyperphosphatemia occur in … Read more

Psoas Muscle

– Anatomy:       – origin: anterior surface of transverse process, lateral border of vertebral bodies and corresponding                intervertebral discs of T12-L5;        – at the 3 o’clock position, the iliopsoas is composed of 45% tendon and 55% muscle;       – tendon is located directly anterior to the anterior superior capsulolabral complex at the 2-3 … Read more

Pseudomonas References

Oral ciprofloxacin treatment of Pseudomonas aeruginosa osteomyelitis. Oral ciprofloxacin compared with parenteral antibiotics in the treatment of osteomyelitis. Management of Pseudomonas osteochondritis complicating puncture wounds of the foot.  Source of Pseudomonas in osteomyelitis of heels. Complications of deep puncture wounds of the foot.

Pseudomonas aeruginosa

– Discussion:     – may cause often fatal bacteremia common due to localized infections following surgery or burns;     – may cause post burn sepsis, bacteremia, septicemia, otitis media, meningitis, pneumonia, and other infections;     – is the predominant infecting organism in deep puncture wounds of the foot (see foot infections);   … Read more

Pseudoephedrine/Sudafed/ Novafed/ Afrinol

– Decongestant;  – Adult: 30-60 mg PO q6-8hr; SR caps 120 mg PO q12hr;  – Contraindicated in patients with HTN or CAD or MAOIs;  – found in many cough and cold preparations;  – Peds: 6 mo – 1 yr – 1/4 tsp qid 1 yr – 3 yr – 1/2 tsp qid 3 yr – … Read more

Pseudoarthrosis of the Tibia

– See: Congenital Pseudarthrosis of Tibia – Classification into “Stiff” and “Lax” Pseudoarthrosis:     – stiff pseudoarthrosis:          – bone ends are hypertrophic          – hypertrophic non union should first be compressed for 2-3 weeks, followed by gradual distraction; – Lax Non Union:     – lax nonunion … Read more