The Hip - book

NALBUPHINE/NUBAIN

for moderate to severe pain;  Synthetic partial opiate agonist/antagonist;  Adult: 10-20mg IM, IV, SQ;  q4-6hr prn;  Causes CNS depression and drowsiness;  use with caution in patients receiving opiate drugs;  KEY PAIN OPIOID

Myopathic Disorders

– See:   – EMG of Myopathic Disorders:   – Histological Features of Myopathy   – Neuropathic Disorders: – Diff Dx of Myopathic Disorders:   – Becker Muscular Dystrophy   – Congenital Myopathies   – Duchenne Muscular Dystrophy   – Facioscapulohumeral Muscular Dystrophy   – Limb-Girdle Muscular Dystrophy.   – Myotonic Muscular Dystrophy – Inflammatory … Read more

Myelopathy

– Discussion:     – characterized by weakness (upper > lower extremity);     – ataxic broad based suffling gait, sensory changes;     – rarely urinary retention;     – anatomy of compression:            – anterior cord compression  —-  protruding disc or posterior osteophytes;            – … Read more

Myotonic Muscular Dystrophy

– Discussion:     – myotonic muscular dystrophy is an autosomal dominant disease;     – there is widespread involvement of organ systems, which includes weakness and wasting of the muscles, cataracts of the posterior lens,              endocrine abnormalities, cardiac conduction defects, premature frontal balding in males, and, frequently, nonprogressive intellectual              dysfunction;     – muscle wasting … Read more

Myobacterium marinum

– See: Myobacterium tuberculosis      – Discussion:     – causes chronic granuloma of the hand or a sub acute inflammation, which may be difficult to distinguish from chronic tenosynovitis or chronic inflammation of the fingers or the hand;           – can be confused w/ rheumatoid hand and will temporarily respond to steroid injection; … Read more

Myocardial Infarction on EKG

– See: EKG interpretation           Presence of Q wave    Reciprocal ST Location:  or ST seg changes     Depression           Sequelae —————— Anterior:  V1-V4 (& poor R wave  II, III, AVF     Ant Hemiblock +/-R.BBB           progression in V1-V6 Lateral:   I, AVL, V5, V6 … Read more

Myelodysplasia

– Discussion:     – disorder of spinal cord development/closure or secondary rupture of developing cord secondary to hydrocephalus;     – term myelodysplasia includes:           – spina bifida occulta           – meningocele: sac without neural elements protruding through defect;           – myelomeningocele; … Read more

Myelograms

– Metrizamide;     – water soluble contrast agent that is absorbed by the body, enhances definition of structures;     – it is meningeal irritant, but has not been associated w/ arachnoiditis; – Clinical Reactions:     – nausea, vomiting, confusion, and seizures;     – side effects are related to dehydration, phenothiazines, tricyclics, and … Read more