Ortho Oracle - orthopaedic operative atlas

Nafcillin/Uniipen

– See Penicillin Family – For penicillinase producing Staph; – Adult: 50-200 mg/kg/24hr;          IV: 500 mg – 1gm q4h for severe infections;          IM: 500 mg q4-6hr for severe infections;          PO: 250 – 500mg q4-6hr – Peds: 100-200 mg/kg/day q6hr; – Poorly absorbed orally, … Read more

Nadolol / Corgard

– See: Class II Agents – Discussion:     – adult dose: 40 mg PO qd (dose upto 240 or 320 mg may be required)     – discussion:           – used to slow ventricular rate during atrial fibrillation, esp w/ excessive heart rate during exercise

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

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

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

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

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

Myelomeningocele Scoliosis

– See:        – Orthopaedic Manifestations of Myelomeningocele: – Discussion:     – scoliosis in myelomenigocele may have a multifactorial etiology:            – idiopathic causes;            – myelomeningocele structural defect;            – congenital defects            – paralytic … Read more

Myelomeningocele Club Foot

– See: Myelomeningocele: – Discussion:     – most common foot deformity in myelomeningocele;     – teratological club-foot deformity in children w/ myelomeningocele is often more severe and more rigid than seen in             congenital club foot deformity;     – secondary foot deformities may also develop as a result of muscle imbalance and/or spasticity; … Read more