Ortho Oracle - orthopaedic operative atlas

Med Index: K – L – M

Med Index: K                        Kayexalate                        Ketorolac                        Ketamine Med Index:  L                        Labetolol   … Read more

Med Index: G – H – I

Med Index: G                      Gabapentin                      Gemfibrozil                      Glucagon                      Glucose                 … Read more

Med Index: D – E – F

Med Index: D               Dantrolene               Desipramine               Desmopressin               Desoxycorticosterone               Dexamethasone               Dextran         … Read more

Med Index: A, B, C

Med Index: A                 Acetaminophren                 Acetazolamide                 Acetohexamide                 Acetylcysteine                 Acyclovir               … Read more

Meclofenamate / Meclomen/ Meclodium

– Discussion:     – For Rheumatoid and Osteoarthritis;     – NSAIA;     – Dosage: Adults: 50-100mg PO qid;     – Note GI intolerance common; concurrent asprin use leads to lower meclofenamate levels

Meclizine / Antivert

– Antiemetic, Antivertigo agent, Motion Sickness; Antihistamine, Nausea, and Vomiting; Adult:12.5-25 mg tid/qid PO; or may try: Motion sickness: 25-50 mg taken 1hr before start of journey; Vertigo:12.5-50mg bid; Note that drowsiness, dry mouth, blurred vision, commonly occur;  Contra-indicated with ETOH, use with caution in those with asthma, prostatic hypertrophy, glaucoma; Peds: >12, same as adult

Mechanisms of Mineralization

– See: Essentials in Osteodynamics – Discussion:     – tissue mineralization is considered to be last step in bone formation;     – principal mineral salt of bone exists primarily in form of crystalline hydroxyapatite, which is thermodynamically stable phase at normal           tissue pH;     – first step in the precipitation of bone salts must … Read more

Mechanisms of Bone Resorption

– Discussion: – bone resorption involves the dissolution of mineral crystals along w/breakdown of the bone matrix; – calcium is probably removed before the matrix is degraded, yet these events are closely linked; – once bone mineral dissolution has begun, collagenolytic enzymes may act on the insoluble collagen molecules and convert them to large, soluble fragments; … Read more

Mechanism of Chance Frx

– Discussion:     – typical mechanism of injury is head on motor vehicle collision while wearing a seat belt;     – force exerted on spine is pure distraction owing to fulcrum that is anterior to vertebral body;           – this is imposed by the lap seat belt as the … Read more

Mechanism of Calcaneal Frx

 – Discussion:  – involves vertical loading of calcaneus by talus at crucial angle of Gissane; – usually occurs from a fall from ht landing on heels;  – primary fracture line may take one of three paths:  – lateral to posterior facet (from impact on pronated foot)  – thru posterior facet (neutral foot position)  – secondary … Read more