Data Trace Editor – 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
– Discussion: – characterized by increased numbers of mast cells in vicera, principally liver, spleen, GI tract, and lymph nodes; – skin may show numerous hyperpigmented macules that reflect dermal mast cell accumulation; – symptoms of systemic mastocytosis are largely attributable to release of mediator substances from mast cells and include generalized puritis, … Read more
– Discussion: – indicated for chronic ingrown toe nails or for any condition in which the nail shape is thickened and distorted; – Surgical Matriectomy: – excision of matrix w/ scapel may be used but has high complication rate; – for adequate exposure of the entire germinal matrix, two oblique … Read more
– See: – Arteriography – Arterial Trauma – Compartment Syndrome – Knee Dislocation – Popliteal Artery – Reperfusion Injury – Discussion: – note that the worst error to make is to underestimate the need to … Read more
Dr. Mangal Parihar Hon. Asst. Professor, Orthopedics, GMC & JJ group of Hospitals Mangal-Anand Hospital 48, Swastik Park, Sion Trombay Road Chembur, Bombay 400 071 Tel: (022) 5227539 / 4845 / 0499 Fax: (022) 523 5416 Email: mangalparihar@parihar.net Web: http://www.ilizarov.in Essays on the Web: – Post Operative Ilizarov Care:
– from Johansen, et al. (1990) Skeletal / soft-tissue injury Low energy (stab; simple fracture; pistol gunshot wound): 1 Medium energy (open or multiple fractures, dislocation): 2 High energy (high speed MVA or rifle GSW): 3 Very high energy (high speed trauma + gross contamination): 4 Limb ischemia … Read more
– Cardiovascular: – dysrhythmia – EKG Changes – digoxin sensitivity – hypertension; – Gastro Intestinal: – anorexia – nausea / vomiting; – constipation – abdominal pain, – pancreatitis … Read more
– See: – Rx Allgorithm – Diff Dx: – EKG changes – T wave flattening – U waves – ST segment depression – PAC – PVC – Digoxin sensitivity – Neuromuscular: – Weakness, Depressed Deep Tendon Reflexes – Paresthesias, Ileus; – Misc: – Nephrogenic Diabetes Insipidus; – metabolic alkalosis; – Worsening of Hepatic Encephalopathy
– ABG – Bronchospasm – Clinical Conditions – Criteria for Intubation – Criteria for Extubation – COPD – Fat Embolism Syndrome – Inverse … Read more
– See: – Stable HyperGly – Sliding Scale – Management of Stable DKA Patient – Management: – correct volume depletion; – give 500 ml NS IV “wide open.” then continue as needed; – caution with CHF; – begin insulin; – give 5-10 units of IV regular insulin as single dose by … Read more