Ortho Oracle - orthopaedic operative atlas

MEAN CELL VOLUME (MCV)

Male 80-94 fL; Female 81-99 fL; Increased: Megaloblastic anemia (B12, Folate), Macrocytic anemia, Reticulocytosis, Down’s syndrome, Chronic Liver dz, ETOH; Decreased: Iron Deficiency Anemia, Thalassemia, occassionally w/ Lead poisoning

Measures of Clotting Cascade

– See: clotting cascade – Prothrombin Time (PT) 11.5-13.5 sec – PT is used to evaluate extrinsic clotting mechanism: I, II, V, VII, X; – Prolonged: – coumadin; – vit K deficiency; – fat malabsorption – liver dz – Partial Thromboplastin TIME (PTT) 27-38 sec; – tests intrinsic & common coag pathways (XII, XI, IX, … Read more

Mechanical Axis

– Discussion:     – mechanical axis refers to the angle formed by a line drawn from the center of the femoral head to the medial tibial spine and a            line drawn from the medial tibial spine and the center of the ankle joint;            – this should not be confused w/ the wt … Read more

Mechanism of ACL Tear

– See: Biomechanical Role: – Discussion:     – ACL tears most often occur during football and basketball in younger patients, and occur most often from skiing injuries in older patients;     – substantial anterior tibial shear forces that stress ACL are produced from quadriceps contraction, esp in 0-30 deg of extension;     … 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

Mannitol

– Discussion:     – for reduction of intracranial or intraocular pressure;     – for osmotic diuresis, cerebral edema, ?oliguria, ?anuria, ?myoglobinuria;     – serves as rapid volumeexpander;     – adult: test dose:             – 0.2gm/kg/dose IV over 3-5 min;             – … Read more

MAO Inhibitors

– See:       – Isocarboxazid/Marplan       – Tranylcypromine/Parnate       – Phenelzine/Nardil – Discussion:     – can potentiate the depressive effects of narcotics;     – can cause fever and seizures when administered to a patient receiving MAOI;     – the pressor effect of indirectly acting agents such … Read more

Marfan’s Syndrome

Discussion older names include dolichostenomelia (Greek for long, narrow limbs) and dystrophia mesodermalis congenital, typus Marfanis; inherited as an autosomal dominant trait with variable expressivity. characterized by long, thin limbs and by laxity of ligaments; Pathophysiology dz of collagen synthesis (possibly the alpha subunit) may have abnormal production of collagen type I (and ? type … Read more

Martin Gruber Anastomosis

– Discussion:     – motor nerve may cross over from the median to ulnar nerve in the forearm; (motor connections but not sensory connections);     – it occurs in two patterns:     – from median nerve in proximal forearm to ulnar nerve in middle to distal third of forearm, & from AIN to … Read more