Medical Malpractice Insurance for orthopaedic surgeons

Magnesium Supplements

– Magnesium Hydroxide/MOM:     – osmotic laxative for acute emptying of bowel prior to diagnostic procedures;     – for acute constipation, and hyperacidity;     – adult: antacids: 5-10ml PO prn;             – laxative: 15-60ml PO prn (Suspension: 8%) which is 80-160 mEq of Mg ion;     … Read more

MAGNESIUM CITRATE

– Discussion:  – for vigorous bowel prep; constipation; is a saline cathartic;  – Adult: 120-240ml PO prn;  : 4 ml/kg/dose, upto max 200 ml PO;  – Precautions:  – do not use in renal insufficiency, intestinal obstruction

MAGALDRATE/RIOPAN/ LOWSIUM

– Discussion:  – for hyperacidity associatted with peptic ulcer; gastritis, hiatial hernia;  – is low sodium antacid; – is low Sodium Antacid: <.3mg sodium per tablet or teaspoon;  – do not use with tetracycline or in renal insufficiency;  – Adult: 1-2 tabs PO or 5-10cc PO between meals and HS

Madelung’s Deformity

  – Discussion:     – known as carpus curves, is result of epiphyseal arrest on ulnar & volar half of the distal radius, which causes articular surface to be            directed ulnarward and volarward;     – genetics: it is inhertited as autosomal dominant trait w/ variable expressivity;     – females are affected four … Read more

Macrodactyly

– Discussion:     – a hamartomatous enlargement of soft tissue & underlying bone;     – can be static, growing commensurately w/ hand, or progressive, growing faster than the rest of the hand;     – involvement in the hand is more common than involvement in the foot;     – “nerve territory-oriented macrodactyly”: … Read more

Lyme Disease: Erythema chronicum migrans

Discussion deer tick (Ixodes) borne spirochetal infection leading to widespread symptoms; in U.S. Lyme disease is most prevalent in areas with heavy deer population (North East); life cycle includes larval, nymph, and adult (with the nymphal stage transmitting bacteria); infection is due to Borrelia burgdorferi spirochetes; contains several outer surface proteins that allow organism to … Read more

Luque Instrumentation

– Discussion:      – Luque instrumentation involves sublaminar wiring connected to rods;      – for most part, this has been abandoned for idiopathic scoliosis because of the potential morbidity that is associated w/ introduction of            sublaminar wires Luque rod instrumentation in the treatment of adolescent idiopathic scoliosis. A comparative … Read more

Lupus Anticoagulant

– See: Antiphospholipid Antibodies- Discussion: – is antibody acting on phospholipid of prothrombin activator complex causing an in vitro anticoagulant effect that paradoxically is associated with thrombosis in vivo; – patients may demonstrate venous and arterial thrombosis and thrombocytopenia; – there is no agreement as to which group of tests is more sensitive to measure … Read more

Lunotriquetral Dissociation

– See: Triquetrium – Lunotriquetral Dissociation:     – ulnar side carpal instability;     – involves disruption of lunotriquetral & volar radiolunotriquetral ligaments & attentuation or rupture of dorsal radiotriquetral attachments;     – w/ a isolated tear of the LT interosseous ligament, there will be only a small amount of increased motion, however, … Read more