Data Trace Editor origin: transverse process of 1st 4 cervical vertebrae insertion: vertebral border of scapula between superior medial angle and scapular spine; action: elevates scapula to inferiorly rotate glenoid cavity; working with the upper Trapezius , elevates and adducts scapula; reversed origin insertion action: when scapula is fixed, laterally flexes and slightly rotates cervical spine; nerve supply: dorsal … Read more
– for hypothyroidism; – Adult: – 25-40ug/day initially, then increase by 25-50ug/day each month; – usual dose = 100-200ug/day; titrate dosage based on response; – Peds: 1-5 yrs: 4-6 ug/kg/24hr qd; > 5 yrs: 3-4 ug/kg/24hr qd __________________________________________________ Slipped upper femoral epiphysis and primary juvenile hypothyroidism.
– 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
– 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
– 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
– 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
– 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
– 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
– 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
– 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