Data Trace Editor Teratogenic, contraindicated in pregnant women; Gum should be chewed slowly until sense tingling or pepery taste (one minute), then park the gum between cheek and gum; once the tingling or tast is gone, then rebegin chewing until again senses taste; This should be repeated for about 30 minutes; Ea nicorrette contains equivalent of 2mg Nicotine; May take … Read more
– Discussion: – Nicardipine is a calcium channel blocker related to nifedipine; – Dosing Information: – Initial doses of immediate release nicardipine are 20 mg PO TID with dose titrations to 40 mg PO TID at 2 week intervals; – Sustained release dosing begins with 30 mg BID ________________________________________________ Controlled multicenter double-blind trial of nicardipine … Read more
– Total Femoral Replacement: – indications: reconstruction following tumor resection – technique: – lateral position on a bean bag – begin proximally with a posterior approach to the hip – divide fascia laterally over femur and continue proximally to … Read more
– Discussion: – defect of the thumb; – long neurovascular island has be marked out to replace soft tissue & to increase the blood supply to the relatively avascular thumb; – long flap has been marked out on the ulnar border of the middle finger & proximal incision marked on the … Read more
– See: Nerve Repair: – Discussion: – most severe nerve injury; – complete disruption of axons, endoneurium, perineurium, & epineurium; – Wallerian degeneration occurs; – recovery requires operative repair and the prognosis is variable, ranging from complete recovery to no recovery; – factors that influence … Read more
– See: Soft Tumor Menu – Discussion: – also called malignant schwannoma or fibrosarcoma of nerve sheath; – extracompartmental high grade tumor that develops from sheaths (Schwann cells) of peripheral nerves; – usually is a primary lesion occuring along proximal major nerve trunks, – tumor is usually … Read more
– See: – Charcot Changes in the Diabetic Patient – Diabetic Foot Menu – Pathophysiology: – effects of neuropathy are simply those of the insensate foot; – in the last century the commonest cause of the insensate foot was syphilis, whereas it is now diabetes; … Read more
– Discussion: – neuropathic shoulder may result from syringomyelia (most common), chiari malformation, or syphilis; – in some cases, it may be confused w/ shoulder instability; – Management: – arthrodesis should be avoided in the acute inflammatory stage of the disease; – Case Histories: … Read more
– See: – Myopathic Disorders – Peripheral Neuropathies – Demyelinating Disorders – Diff Dx of Neuropathic Dz: – Axonal Neuropathies – Demyelo Neuropathies – Charcot Marie Tooth – Friedreich’s Ataxia – Anterior Horn Dz … Read more
– Discussion: – indicated for neuropathic pain conditions; – diabetic neuropathy – reflex sympathetic dystrophy; – radicular pain – peripheral nerve pain; – dose ranged: 300 to 600 PO tid; … Read more