Medical Malpractice Insurance for orthopaedic surgeons

Prosthetic Feet

– See: Foot Selection for AKA Prosthesis: – Discussion:     – excessive heel softness: causes knee hyper-extension;     – excessive heel stiffness: knee tends to hyper-flex at heel strike; – Types of Prosthetic Feet:     – SACH foot:     – single axis foot:           – used since … Read more

Prostacyclin

– Action:     – powerful vasodilator and inhibits platelet aggregation thru activation of adenylate cyclase, which leads to an increase in intracellular cyclic adenosine monophosphate;     – prostacyclin and thromboxane A(sub 2) are formed from arachidonic acid, w/ endoperoxides & prostaglandins G2 and H2 as           intermediates;     – variety of drugs with diverse mechanisms … Read more

PROPYLTHIOURACIL: PTU/PROPACIL

– for hyperthyroidism; Inhibits production T3 and T4;  – Adult Dosing: – 100mg PO q8hr (up to 1,200mg/day for control);  – after pt is euthyroid (6-8 weeks), taper dose by 1/3 every 4-6 weeks to a maintainance dose of 50-150 mg/24hr;  – inhibits production and conversion of T3 and T4

Propanolol/Inderal

– See: Class II Agents – Discussion:      – nonselecive beta blocker;      – for PSVT & for VF / VT w/o pulse after standard Rx fails: – Dose:       – 1.0 mg IV q5min to total dose of 0.1 mg/kg;       – HTN: 40mg PO bid initially, then … Read more

Pronated Olblique View

    – used to image the scaphoid, triquetrum, body of hamate, scapho-triquetral and trapezium-trapezoid joints;     – hand rests on its ulnar border and tilts 40 to 50 degrees palmarly; fingers are slightly flexed and held together;     – central beam is directed to the center of the carpus

Promethazine/Phenergan

– for N/V/motion sickness, potentiates narcotics; – adult: 12.5-25mg PO,PR,IM,IV bid/qid; (reduce dose w/ IV and slowly) – drowsiness common; compatable with morphine and meperidine; – motion sickness: 0.5 mg/kg/dose q12hr PO prn; – N/V: 0.25-0.5 mg/kg/dose q4-6hr IM or PR prn; – is a phenothiazine derivative that possesses antihistaminic, sedative, anti-motion sickness, antiemetic and anticholinergic … Read more