Medical Malpractice Insurance for orthopaedic surgeons

Data Trace Editor

Lobster Hand

– See:      – Congenital Deformities of the Hands: – Discussion:     – rare anomaly     – absence of digit, w/ cleft hand (“lobster claw” hand);     – phalanges of middle finger, & sometimes corresponding metacarpal, are absent, & cleft in the plane of the missing digit & metacarpal              separates … Read more

DVT Treatment – low molecular weight heparins (LMWH)

Dalteparin (Fragmin) prevents formation of clots by accelerating activity of antithrombin III availability 2,500 IU or 5,000 IU/ 0.2 mL single-dose prefilled syringe 7,500 IU / 0.3 mL single-dose prefilled syringe 10,000 IU / 0.4 mL single-dose prefilled syringe 10,000 IU / 1 mL single-dose graduated syringe 12,500 IU / 0.5 mL single-dose prefilled syringe … Read more

Liver Function Analysis

– Liver Panel:       – Alkaline Phosphatase       – GGT       – AST/ALT       – LDH        – Liver Failure:             – add the following:                   – Thiamine                   – Vitamin K                   – D/C medications that are metabolized by the liver:                            – ativan, oxazepam, and most other sedatives;                             – cipro (flouroquinolones) – lidocaine … Read more

Lithium Carbonate / Eskalith

– Discussion:     – for manic episodes of main depressive illness;     – acute mania: 600mg PO tid or 900mg SR bid;     – maintainance: 300mg PO tid/qid, may take 2 weeks for therapeutic effects;     – dosage must be titrated; follow serums levels,     – common side effects are: … Read more

Lister’s Tubercle

– Discussion:     – at wrist, Lister’s tubercle is palpable on dorsum of radius;     – it serves as a pulley for the EPL;     – radial and ulnar styloid processes are also palpable, w/ tip of radial styloid process projecting 1 cm distal to that of ulna;     – on … Read more

Listeria

Ampicillin, or septra; Also consider: Tetra, Chloramphenicol, erythromycin, Pen G     Listeria is a gm pos, non acid fast, noncapsulated, nonsporulating, motile bacillus that is Beta hemolytic, found world wide.  25% of Listeriosis patients have: cirrhosis, lymphomas, solid tumors, immunodefficiencies: AIDS, Cancer Rx;     In adults, meningitis is the most common form of … Read more

Lipoma

– See: Soft Tissue Menu – Discussion:     – benign tumor composed of lobules of mature fat;     – most common tumor of soft tissue;     – occurs most often in adults;     – tumor usually presents as active stage 2 lesion, later becoming latent;     – usually it appears … Read more

Lisfranc’s Fracture / TarsoMetatarsal Injuries

– See: Midfoot/Forefoot Fractures – Discussion: – anatomy of the midfoot – mechanism: – because 2nd metatarsal is the longest metatarsal proximally, it will often be frxed at its base, with the other metatarsals dislocated; – dorsal capsule of Lisfranc’s joint, lacking sufficienct reenforcement, will to support the load and will collapse, resulting in dorsal … Read more

Liposarcoma

– See: Soft Tissue Menu – Two Forms:     – low grade myxoid liposarcoma;          – most common;          – occurs in young adults;          – in myxoid liposarcoma, lipoblasts are dispersed in anastomosing capillary framework;          – fine reticular vascular pattern; … Read more