Medical Malpractice Insurance for orthopaedic surgeons

Microscopic Features of Bone

– Discussion:     – osteoclasts are found in most of bone tumors, or at least there are multinucleated cells that look like osteoclasts;          – there cells are quite striking in appearance;     – host bone involved by a tumor reacts to it in a very limited manner;     – … Read more

Microfracture Technique for Knee Injuries

– Discussion: – see management of osteochondral injuries and cartilage menu – microfracture is a knee surgery that involves the creation of multiple perforations (microfractures in the subchondral bone) in areas that are cartilage deficient. – theory behind this type of technique is that simple abrasion arthroplasty may not allow a sustained reparative response (no more than 2 weeks of healing) where … Read more

Miconazole/Monistat

– For severe fungal infections including coccidioidomycosis, candidiasis, Cryptococcus, and others; various tinea forms; cutaneous candidiasis; vulvovaginal candidiasis; tinea versicolor; – Adult: systemic: dosage range from 200-3,600 mg/24hr IV based on diagnosis; to be administered diluted to minimum volume of 200 ml NSS; – Topical apply to affected area twice daily for 2-4 weeks; – … Read more

Mezlocillin/Mezlin

– See:        – Penicillin Family        – AntiPseudo – Adult: 2-4gm q4-6hr Injection; or 200-300 mg/kg/24hr; 1.85mEq Na/gm; – More active than Ticarcillin against Enterobacteriacae, same activity against P.aeruginosa;  good activity against B.fragilis; – Diffusion from blood into CSF adequate w/ or w/o Inflammation; Ratio of CSF to Blood Level … Read more

Metronidazole / Flagyl

– Discussion and Dosage:     – type of reducing compound that leads to the formation of oxygen free radicals which are toxic to anaerobic bacteria;     – for amebiasis, trichomoniasis, B.fragilis, C. difficile;     – is effective for B.fragilis which is resistant to clindamycin, chloramphenicol, penicillin G;     – amebic: 750mg … Read more

Metoprolol/Lopressor

– See: Class II Agents – Discussion:     – for HTN, MI, angina pectoris; beta blocking agent;     – HTN dose:              – 100mg PO qd in single or divided doses; may increase dosage q1-2 weeks until desired response;              – usual range … Read more

METOLAZONE/ZAROXOLYN

– Discussion:  – mild to moderate essential HTN:  – edema of renal dz or cardiac failure, to potentiate effects of loop Diuretics;  – inhibits NaCl resorption in corical diluting segment and in proximal tubule; HTN:2.5-5mg PO qd;  – Edema: 5-20mg PO qd;  – CHF: 5-10mg qd;  – Potentiation of loops:2.5-10mg-titrated to effect;  – Precautions:  – Monitor … Read more

Metoclopramide/Reglan/ Clopra

– Diabetic Gastroparesis:   – 10mg PO 30min AC and HS for2-8 weeks prn;   – GI Reflux:  – 10-15mg PO 30min AC and HS; maximum duration of therapy is 12 weeks;  – Prophylaxis of N/V in Cancer Chemotherapy;  – IV infusion 1-2mg/kg diluted in 0.9% saline and given slowly (over 15min) 30 min before … Read more

Methylprednisolone / Medrol / Solumedrol

– See Steroids  – Discussion: – not used for Cerebral edema;  – useful for Potassium wasting;  – Dosing:  – PO: 4-48mg/day depending on disease and clinical response;   – IV: 30mg/kg infused over 10-20min for septic shock;  – Dosage for Severe bronchospasm:  – 0.5-1mg/kg initially, followed by tapering doses q4-6hr  Original Articles: A Randomized, Controlled Trial … Read more