Physical Exam of DDH
– See: Impediments to Reduction – Early DDH: – Barlow’s Test – Ortolani’s test – Hip Clicks: – common occurance on physical exam; – there is no published significance of hip clicks; – Late DDH: – tightness … Read more
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Physical Exam of Sub Talar Joint
– Discussion: – wt bearing line of the body normally falls medial to the axis of sub talar joint, & therefore, when the patient stands on one foot, the foot pronates; – when pt rotates leg externally, heel inverts & wt bearing line moves laterally; – total … Read more
Physical Exam of the Cervical Spine
– See: – Brachial Plexus – Neuro Exam – Diff Dx of Cervical Pathology: – Neuro Exam: – PE of Lumbar Spine: – Upper Cord Involvement: (see: cervical radiculopathy / myelopathy) C5 C6 C7 C8 T1 Sens: Lat arm Thumb … Read more
Physical Exam and Evaluation of Colles Frx
– Neurological Exam: – be sure to examine the AIN, PIN, and median nerve at the wrist; – carpal tunnel syndrome; – evaluate the strength of the APB; – injury from contact with bone spicules; – … Read more
Physical Exam for ACL Tear
– See: – Physical Exam of the Knee: – Mechanism: ACL Tear: – Anteromedial Rotatory Stability: – Anterior Cruciate Ligament – Anterior Drawer Test – Anterolateral Rotatory Instability – Clunk Test – Lachman – Losee Test – … Read more
Physical Exam for Ankle Sprains
– See: Talar Tilt – Anterior Drawer Test – evaluates Anterior Talofibular ligament (look for diff. of 8 mm) – this can be performed by securing distal leg w/ one hand and applying an anterior pull on the heel with the foot held in gentle plantar flexion; – forward … Read more
Physical Exam: for Anterior Instability
– Discussion: – pt w/ anterior dislocation keep affected arm at side of body in external rotation; – shoulder will loose its usual roundness and will be full anteriorly to palpation; – axillary nerve f(x) should be documented; – rotator cuff is frequently damaged & should be … Read more
Phenylbutazone/Butazolidin, Azolid
– Symptomatic treatment of acute gouty arthritis; rheumatoid spondylitis; – musculoskeletal disorders (peritendinitis, bursitis); acute perivascular inflamation; – NSAIA; dosage: 300-600 mg/day in 3-4 divided doses; – should reduce maintenance dose to minimum effective dose (maximum 400mg/day) – Note: erythematous maculopapular rash; – Note: use w/ caution in pts over 40 yrs; ocular and otic … Read more
PHENYLEPHRINE/NEO SYNEPHRINE
– Discussion: – for treatment of vascular failure in shock, hypersensitivity, or drug induced hypotension; – used to overcome paroxysmal SVT; – blood pressure maintenance during spinal anesthesia; – alpha agonist vasoconstrictor: – Dosage: – mild hypoTN: 2-5mg IM or SQ elevatesBP for 2 hrs; – 0.1-0.5 mg IV given as slow IV injection; – … Read more
Phenytoin/Dilantin
– For grand mal and partial seizures; – Adult active siez:18-20mg/kg IV (50mg/min maximum infusion rate); – Oral loading: 15-20mg/kg in doses of 400mg or less at 4 hr intervals; – Maintainance doses: 300-400 mg/24 hr IV/PO divided q12-24 hr, based on plasma values and clinical response; – …or try: Loading dose 750 mg to 1 … Read more