Data Trace Editor – Discussion: – indicated for irreparable injury to the subscapularis which is causing recurrent instability; – Anterior Approach to the Shoulder – Release of Superior Pectoral Tendon: – superior 2.5-3 cm of the pectoralis tendon is released off the humerus; – stay sutures are inserted into the tendon edge; – tension is placed on … Read more
Postoperative PCA dosing for patients in normal health, AGE < 60yr; (@LIB.HLX^refmorphine[Ref) Lean B.Wt Morphine Morphine Lockout Morphine (mg/hr) (kg) Load Dose (mg) PCA (mg) Interval(min) Cont. Infusion 30 1.5 … Read more
– Post Fixation: – w/ BPB grafts, the sutures are passed thru the bone plug and then are passed around a screw over a washer; – w/ soft tissue grafts (such as tendinous edge of Achilles tendon graft), requires a Krackow stitch (whiped locking stitch) is required; – Spiked Washer Fixation: … Read more
– normal patients when ventilated at normal tidal volumes, will have peak inspiratory pressures of 25-30 cm H20; – many ICU pts have abnormal lung Compliance & show peak pressures of 30-40 cm H2O; – barotrauma does not occur when PIP is < 50 cm H2O; – barotrauma is seen in 8% of patients when … Read more
90000 NEW PATIENT VISIT-BRIEF 90010 NEW PATIENT VISIT-LIMITED 90015 NEW PATIENT VISIT-INTERMEDIATE 90017 NEW PATIENT VISIT-EXTENDED 90020 NEW PATIENT VISIT-COMPREHENSIVE 90030 RETURN VISIT LAB/INJECTION ONLY 90050 RETURN VISIT … Read more
(see: juvenile RA menu) Discussion definition: < 4 involved joints. most frequently encoutered subgroup, accouting for 30-40% of JRA; peak age is 2-4 years more common in girls (4x) differential dx Clinical Presentation> begins w/ incidious onset which can be painless swelling, warmth, and restriction of motion are common sx; knee, ankle, and elbow (& … Read more
– Discussion: – Pavlik harness is a dynamic flexion abduction orthosis used to treat DDH in infants up to 6 months of age; – harness usually leads to stability of reduced hip w/ in 4 wks, but its use should be continued until clinical exam & x-rays of hip are normal; … Read more
Pavlik harness: Position for Reduction & Safe Zone – Discussion: – stable zone: – ROM in which hip remains reduced w/o subluxation; – spica cast: – may be used when reduction has narrow stable zone … Read more
– Discussion: – occurs when pressure in a muscle compartment is > pressure in the capillaries, which leads to progressive muscle ischemia and edema and left untreated can result in infarction of the compartment contents; – ischemia and necrosis of the muscles occur even though the arterial pressure is still high enough to produce … Read more
– Discussion: – medial capsule: – related to repetitive loading of the hallux that leads to attenuation of the medial capsular structures; – medial migration of first metatarsal: – first metatarsal head has no musculotendinous attachments; – head of 1st metatarsal, w/ increased valgus, progressively moves medially off sesamoids, which remain … Read more