Ketorolac/Toradol
Effect of ketorolac tromethamine on bleeding and on requirements for analgesia after total knee arthroplasty. Lafeyette ROMINE, Sr., & Debra P. Romine v. Julia FERNANDEZ, Crna & Johnathan Isom, M.D. No. W2002-00703-COA-R3-CV
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Ketoconazole/Nizoral
– For treatment of systemic fungal infections; Candidiasis, chronic mucocutaneous candidiasis, oral thrush, Blastomycosis, coccidioidomycosis, histoplasmosis, and paracoccidioidomycosis; – topical cream for localized fungal infections due to dermatophytes & yeast; – Adult: 200mg PO qd; increase to 400mg PO qd for very serious infections; – Associated with severe hepatotoxicity; monitor LFTs closely throughout course of therapy; … Read more
Ketamine
– produces a dissociative state of anesthesia – the sympathetic nervous system is activated causing an increase in HR and BP which makes it an ideal agent for hypovolemic pts – ketamine is a direct myocardial depressant and should be used cautiously w/ CAD; – ketamine is a potent cerebral vasodilator and is contra-indicated in … Read more
Keller Procedure
– Discussion: – procedure combines soft tissue release and removal of the medial eminence with resection of the proximal end of the proximal phalanx; – complications include transfer metatarsalgia (helped with MP bar), recurrence (reduced w/ medullary pin and splinting), hallux varus, and hallux extensus (minmized with … Read more
KAOLIN AND PECTIN/KAOPECTATE
– treatment of mild diarrhea; – absorbent antidiarrheal agent; – Adult: 60-120ml PO after each loose stool or better try 30-60ml q4-6hrprn; – Peds: 6-12 yrs: 30-60 ml/dose as above; 3-6 yrs: 15-30 ml/dose as above
Kanavel’s Four Cardinal Signs
– Discussion: – for diagnosing infectious tenosynovitis; – intense pain accompanies any attempt to extend partly flexed finger; – this is absent in local involvement; – pain will be noted along the course of tendon with extension; … Read more
Jugular Veins, Internal: Central Approach
– See: SG cath – Technique: – prepare the patient as for subclavian approach; – right side of the neck is preferred for venipuncture for three reasons: – dome of the right lung and pleura is lower than left; – there … Read more
Judet Views of the Pelvis
– See: – AP view – Radiology of the Pelvis: – Internal (Obturator) Oblique View: – shows iliopectineal line anterior column of pelvis & posterior wall; – pt is supine w/ involved side of pelvis rotated anteriorly 45 deg & beam directed vertically toward affected hip; … Read more
Judet and Letournel Classification and Column Theory
– 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
JRA: General Clinical Findings
– See: – Cervical Spine in JRA – Upper Extremity: JRA – Discussion: – joints may appear worse than they feel; – joint effusion may be only finding; – child may walk on affected joint, despite swelling, warmth, & limitation of motion; – … Read more