Data Trace Editor – Discussion: – therapy for > 24 hrs, excessive dosage, or RF may cause acculuation of thiocyanate, the metabolite, is excreted by kidney; – thiocyanatetoxicity occurs at plasma levels of 5-10mg/dl; – look for metabolic acidosis (early sign) blurred vision, tinnitus, or delirium, hepatic dysF(x), dyspnea, V, dizziness, ataxia, and syncope; – metabolic acidosis is … Read more
– for Peptic Ulcer Disease: – Adult: 300mg PO qd, or 150mg PO bid
– 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
– 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: – 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
– 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: – 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
– 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: 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
– 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