Levaquin / Levofloxacin
– Discussion: – dose 500 mg PO q24 Efficacy of high doses of levofloxacin in experimental foreign-body infection by methicillin-susceptible Staphylococcus aureus.
Data Trace Editor
Leukemia
– Discussion: – most common malignancy of childhood; – usually affects young children; – most appear systemically ill; – dz can mimic JRA by skeletal and extraskelal manifestations; – joint disease is usually painful monoarticular (frequently hip) although it can be painful polyarticular … Read more
Letournel Classification
– Discussion: – classified pelvic ring injuries simply according to site of injury; – anterior disruption can occur thru either pubic symphysis or pubic rami; – injury may be through the ilium, the SI joint, or the sacrum; – it can involve frx-dislocation of SI joint, which … Read more
Lesser Tuberosity Fractures
– See: Fracture Dislocation: – Discussion: – pure avulsions of the lesser tuberosity are rare; – pressence of this frx raises possibility of assoicatted posterior dislocation; – lesser tuberosity fragment consists of the lesser tuberosity with its attached subscapularis muscle; – avulsion of this frag may allow … Read more
Lesser Trochanter Frx
– Discussion: – plays a role in intertroch stability; – evaluate size & displacement of lesser troch before judging instability; – lesser troch has a postero-medial location and when this structure is frx & displaced, defect results at post medial aspect of frx surfaces; – axial loading studies … Read more
Lengthening of the Tibia
– See: Limb Lengthening Fixators Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) distraction histiogenesis – Discussion: – lengthening thru the proximal tibia, tends to drift into valgus and procurvatum, and therefore consider presetting distraction in 5 deg of varus; … Read more
Legionella
– References – Legionella pneumophila erythromycin +/- Rifampin FQ S/S: Headache, malaise, myaglia, rapid fever within 24hrs or less, cough, chest pain then chills or rigor common early symptoms; Nonproductive cough common, mucoid bronchial secretions in about 50% of patients; Source: Water from air conditioning cooling towers, shower heads, ponds ect; Gm Neg Rods … Read more
Legg Calve Perthes Disease: Non Operative Treatment
– Discussion – principles of treatment are maintenance of ROM & containment of femoral head through the evolution of healing of the epiphysis; – in child > 5 yrs who has more than 1/2 of epiphysis involved, abduction bracing or surgery are methods of treatment currently employed; … Read more
Left Thoracic Scoliosis
– Discussion: – left thoracic curvatures are uncommon (1-2% of curves) – associatted conditions: (33 % of patients) – occult syrinx; – treatment of the scoliosis without recognition of syringomyelia and Chiari malformation can lead to paraplegia; … Read more
Leffert Classification of Brachial Plexus Injuries
– Description – I Open (usually from stabbing) – II Closed (usually from motorcycle accident) – IIa Supraclavicular – preganglionic: – avulsion of nerve roots, usually from high speed injuries with other … Read more