The Hip - book

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Neuroma

– See: Nerve Injury Menu: – Discussion     – occurs following nerve injury;            – schwann cells at the the site of injury express trophic factors inattempt to regenerate the nerve;            – neuroma occurs with aberant growth at the nerve injury site;       … Read more

Neurontin / Gabapentin

– 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

Neuropathic Disorders

– 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

Nerves arising from S3

– See: Innervation: – Discussion:     – paresthesias in buttocks are an important sign of possible cord dysfunction;     – since segments S3, S4, S5 are the lowest and most peripheral segments in the spinal cord, an extramedullary lesion           at any level may first compress these fibers and … Read more

Neurilemoma/ Schwannoma

 – Discussion:     – nerve sheath tumor which arises from schwann cells;     – commonly develop in cranial nerves (most often the 8th nerve);     – most often develops in sensory nerves;     – mass grows slowly and usually does not cause symptoms unless it grows within a confined space such as the tarsal tunnel; … Read more

Neuro

– Discussion:     – decrease phenothiazines (reversible Parkinson’s dz);     – may find defects in mentation, neuritis of myelinated long nerves (restless leg syndrome), and MS changes;     – uremic polyneuropathy, w/ decr electric conduction along myelinated nerve fibers;     – conduction may be as low as 15 to 20/sec in renal failure; … Read more

Neuro Exam Menu

         – Exam for Spinal Cord Injury:     – Management of the Spine Injured Patient:     – Exam of C Spine:     – Anterior Cord Syndrome     – Amyotrophic Lateral Sclerosis     – Autonomic Dysfunction:     – Back Pain:     – Brachial Plexus – Neuro Exam   … Read more

Neuroblastoma

  – Discussion:     – most common tumor that causes skeletal metastasis in children;     – frequency of neuroblastoma is about 1 per 100,000 persons;     – originates in neural-crest cells of sympathetic nervous system;     – majority of patients have tumor involvment of regional lymph nodes or have metastasis to … Read more