Ortho Oracle - orthopaedic operative atlas

Polymorphonuclear Neutrophils (PMN): 40-76%

– See: Differential:  Increased: Physiologic: – Severe Exercise, 3rd Trimester, Labor, Surgery,   Increased: Pathologic:    Bacterial infections (See Sepsis MI Pulmonary Infarct Crush Injury, Burn Eclampsia DKA Uremia Acute Gout Leukemia; Systemic JRA ( > 40,000)   Decreased: Pancytopenia Aplastic Anemia – X-ray Poisoning w/ Benzene or AntiTumor Meds Severe Overwhelming Infections – Disseminated … Read more

Polymyalgia Rhematica

– Discussion:     – polymyalgia rheumatica is a clinical syndrome that affects shoulder and hip girdles and causes severe pain and stiffness;     – usually pt is in the sixth to seventh decade of life;     – diff dx:             – frozen shoulder (usually frozen shoulder is not associated w/ an elevated sed … Read more

Popliteal Artery

– See: differential diagnosis of posterior fossa masses – Discussion:     – popliteal artery is the continuation of superficial femoral artery at hiatus of the adductor magnus muscle;     – artery is anchored proximally by tendinous insertion of adductor magnus upon the medial femoral epicondyle;     – it runs posterior to the distal … Read more

Polyarticular JRA

(see also: juvenile RA menu) Discussion definition: > 5 involved joints; large and small joint may be affected; accounts for about 50% of patients w/ JRA; may occur at 1-3 yrs or during early adolescence (after age 10); children w/ seronegative arthritis usually present before age 5 years and have iridocyclitis if fewer than five … Read more

Polydactyly of Foot

          – Discussion:     – polydactyly in the foot usually involes a single duplication (hexadactyly)     – associated anomalies:           – duplications occur bilaterally in about 40-50% of patients, but often the duplications are not symmetric;           – polydactyly of hand … Read more

Polydactyly of the Hand:

    – See:       – Polydactyly of the Thumb:       – Polydacyly of the Foot: – Discussion:     – polydactyly is most common hand anomaly;     – may involve autosomal dominant transmission in which case an asociatted syndrome is generally not present;           – … Read more

Polydactyly of the Thumb

  – See: Polydactyly: – Discussion:     – polydactyly of the thumb occurs in many forms, ranging from varying degrees of mere splitting to completely duplicated thumb;     – occasionally it consists of only fleshy nubbins on radial border;     – when duplication occurs alone, it is usually unilateral and sporadic;   … Read more