Ortho Oracle - orthopaedic operative atlas

Palmaris Longus Tendon Graft Harvest

– Discussion:     – most commonly used tendon graft for the hand;     – palmaris longus tendon is extrasynovial and does not have synovial membrane;     – instead of synovial membrane, the tendon has a paratenon which does not promote gluiding as well as intrasynovial tendons; – PreOp Planning:      – determine … Read more

Oxygenation of Ventilated Patients

    – See: ABG  – oxygenation is Independent of minute volume until ventilation is low;  – hence: increasing minute volume does not improve oxygenation;  – note: at pO2 of 75 mm Hg, the saturation = 95% at pO2 of 60 mm Hg, the saturation = 90% hence: pO2 of 75 is adequate for all … Read more

P wave: Discussion

* Pos: I, II, V4, V5, V6, AVF; Neg: AVR * Best Seen: II and V1; * Duration: PR: 0.12 – 0.20 msec;  – < 0.12 msec: consider:  – > 0.20 msec: consider:  – Normal varient (large person);  – Problem AV node: ? AV block, drug effect;  – Intra Atrial Cond. defect: Hyper K, Large … Read more

Pagets Disease

– Discussion: – a chronic progressive disease osteoblasts and osteoclasts which results in abnormal bone remodeling; – etiology, staging, and pathogenesis – prevalence: – uncommon in pts under age of 55 yrs but relatively common in later life, occurring in 3-4% of persons over 55 yrs & occurs in 10% in pts over age 80; – reference: – … Read more

Pagets Disease: Etiology and Pathogenesis

– Etiology: disease may be caused by a virus;     – paramyxovirus infection of osteoblasts may activate of the c-fos proto-oncogene, resulting in localized abnormal osteoclastic activity typical of Paget’s disease; – Pathophysiology:      – in Paget’s disease, primary defect is in the remodeling system of isolated areas of skeleton;      – … Read more

Oxaprozin / Daypro

– Discussion:  – long-acting nonsteroidal antiinflammatory agent;  – 600 to 1200 mg PO qd (in some cases a dose of 600 mg PO bid is required)  – metabolism takes place in the liver, but dose reduction is needed w/ significant renal dysfunction

OXAZEPAM/SERAX

for anxiety with depression or ETOH withdrawl;  Adult:10-15mg PO tid/qid; with severe anxiety or ETOH withdrawl try up to 30mg tid/qid; this is a metabolite of diazepam, must reduce w/ elderly; Contraindicated with pyschoses;  Avoid concomitant use of ETOH, or other CNS depressant drugs;  Note slow onset of action, t/2= 5-21hr; No active metabolites;  Also … Read more

Oxybutynin/Ditropan

– Discussion:  – for symptomatic relief of urgency, nocturia, and incontinence associated with neurogenic or reflex neurogenic bladder; – note anticholinergic effects;  – Spasmolytic Anticholinergic: Adult:5mg PO bid/qid

Oxycodone

– Discussion:     – type of narcotic agent;     – percocet:          – for moderate to severe pain; Adult: 1-2 tab PO q4-6hr prn;          – tab: 5mg oxycodone and 325mg acetaminophren;     – percolone:          – 5 mg oxycodone tablets (no acetaminophren); … Read more