IRON DEXTRAN/IMFERON
– for Iron defficiency when oral supplementaion not possible; – must give test dose since Anaphylaxis is common
Data Trace Editor
Iron Overload / Hemochromatosis
Discussion – rare disorder manifested by tissue accumulation of iron affecting liver, pancreas, heart, and gonads; – approx 1.7% of men & 0.6 percent of women are homozygotes; – hereditary disorder of iron metabolism – diabetes is common (bronze diabetes) – 20% develop joint involvement; – most pts are male between ages of 40-60 yrs; – … Read more
Intramedullary Nailing of Femoral Shaft Frx
– See: – Distal Femoral Shaft Fractures – Infected IM nails – Open Fractures – Proximal Femoral Shaft Fractures – Synthes IM Femoral Nail – Discussion: Intramedullary Nailing: – closed IM nailing has supplanted other forms of treatment for femur frx; – it affords predictable realignment of bone, rapid regeneration … Read more
Intrinsic Muscles of the Hand
– See: – Dorsal Interossei – Lumbricals: – Palmar Interossei – Hypothenar Eminence: – muscles of hypothenar eminence are abductor, flexor, opponens digiti minimi, & palmaris brevis; – muscles of hypothenar eminence are innervated by ulnar nerve; – Thenar Eminence: … Read more
Intrinsic Tightness and the Intrinsic Plus Hand
– See: – Intrinsic Muscles: – Discussion: – results from intrisic stiffness (contracture); – specific causes: – truama: – posttraumatic intrinsic contractures may occur after severe injuries to hand that have resulted in considerable edema or … Read more
Intrinsic Weakness and Claw Hand
– Discussion: – claw hand deformity is manifested by flattening of the transverse metacarpal arch and longitudinal arches, with hyperextension of MCP joints and flexion of the PIP and DIP joints; – deformity is produced by imbalance of the intrinsic & extrinsics; – intrinsic muscles must be markedly weakened or paralyzed to produce claw deformity; … Read more
Inverse I:E Ratio
– normally an inspiratory to expiratory time ratio (I/E) of 1:2 is used – inverse I/E is also utilized in ARDS to prevent barotrauma – long sustained inspiration reduces mean airway pressure while increasing the PaO2 for a given FiO2; – despite the benefits in gas exchange, the prolonged inspiratory duration relative to expiration is … Read more
Intimal Injuries
– Discussion: – intimal injury occurring with fractures may be extensive, & full extent of the injury may be evident only after arteriotomy; – intimal injury may be manifested as intimal frx w/ thrombosis, intimal dissection, or a subintimal hematoma, which can all lead to occlusion of the artery; – Repair: … Read more
Intra-articular Retrograde Nail Insertion for Femoral Frx
– Discussion: – as with all femur fractures be sure that a femoral neck fracture is not present; – Operative Technique: – position: – supine with several folded sheets placed underneath the injured thigh and knee; – the injuried thigh must be … Read more
Intrameduallary Devicies
– Ender nails introduced in 1970; – nails backing out of the medullary canal – perforation of nails thru the femoral head – external rotational deformity at the fracture site – distal migration – ref: – The use of Ender’s … Read more