Data Trace Editor – See: – Burst Fractures – Lumbar vertebrae: – Discussion: – typical injury pattern for burst frxs varies w/ anatomic level; – L1 to L3 pedicles are frequently comminuted or detached; – L4 to L5 frx usually present a consistent pattern: … Read more
– Discussion: – oblique first metatarsal osteotomy that begins dorsal-proximal and continues plantar-distal; – osteotomy begins dorsally 1 mm distal to the metatarsocuneiform joint at a 30 deg angle; – most distal portion of plantar aspect of osteotomy is left temporarily intact; – initial screw fixation: … Read more
– See: – Cervical Compression Frx: – Burst Frx of Spine – Flexion Tear Drop Frx – Extension Teardrop Frx of C2 – Discussion: – may be clinically & radiographically similar to flexion teardrop frx; – its … Read more
– See: – Claw Hand: – Tendon Excursion: – Nerve Repair: – Combined Injuries of the Median and Ulnar Nerves: – Discussion: – lesion of ulnar nerve at or near wrist or base of palm will result in paralysis of hypothenar … Read more
– Discussion: – for treatment of DVT / PE; – hypercoagulable states – coagulation pathway – anti-Xa to anti IIa ratio for enoxaparin is about 3 to 1 where as unfractionated heparin has a ratio of 1 to 1; – hence LMWH has a greater inhibitory effect … Read more
– Discussion: – plain radiographs: – in low risk patients, radiographs are indicated if LBP does not improve after 6 weeks; – low risk implies that the patient is between 18-50 years, acute onset, absence of night pain, no … Read more
– Discussion: – low back pain is the second most common symptomatic reason for physician visits (followed by URTI) – diff dx: – waddel criteria: – Exam of Lumbar Spine: – exam of C-Spine: – neuro exam – general assessment: … Read more
– Discussion: – for reduction of elevated total & LDL cholesterol levels in pts w/ primary hypercholesterolemia; – Inhibits early step in cholesterol synthesis; – Adults: – 20 mg PO daily w/ evening meal; – may increase at 4 week intervals to max dose of 80 mg/day taken w/ meals; – Precaution: – monitor LFTs … Read more
– See: – Pivot shift – Anterior Cruciate Ligament – Anterolateral Rotatory Instability – Clunk Test – Diagram – Lachman – Losee Test – reverse pivot shift Test – Discussion: – begins w/ the knee in flexion as an external rotation & valgus force are applied; – … Read more
– for anxiety and depression; preanesthetic medication, sedation, status epilepticus; Adult: 1-10mg/24hr PO bid/tid; – Anxiety: 1mg PO bid/tid; – Preop: 0.05mg/kg up to max 4mg IM at least 2hr prior to surgery; – The only benzo which can be reliably injected IM; Sedation and relief of anxiety: – 0.44mg/kg (max of 2 mg) given … Read more