Data Trace Editor – Hypothyroidism in Infants and Children: – in the newborn period, hypothyroidism manifests itself as cretinism; – infant is described as sluggish, has a short stature, coarse hair, protruding tongue and protuberant abdomen; – retardation of growth late appearance of secondary ossification centers which may fragment and increased increased … Read more
isotropic band is designated the I band; this is composed of thin filaments – composed only of actin; at higher magnification, each I band is bisected by a dark line, Z line; a sarcomere, extends between two successive Z lines & is approximately 2.2 long in resting muscle. w/ max contraction, sarcomere shortens 20-50% of its … Read more
– Discussion: – for RA, OA, MSK pain, dysmenorrhea – NSAIA – – supplied: tabs: 200mg (OTC), 300mg, 400mg, 600mg, and 800mg; – Adult: – 300, 400, 600, or 800 milligrams three times daily to four times daily – 1,200-3200 mg per day in divided doses (titrated … Read more
10000 I&D (NON)/INFECTED CYST 10000 I&D SEBACEOUS CYST-1 10020 I&D FURUNCLE 10060 I&D ABSCESS-SIMPLE 10061 I&D ABSCESS-COMPLICATED 10120 INCISION AND REMOVAL OF FB/SUTURES-SIMPLE 10120 REMOVE FOREIGN BODY 10140 I&D OF HEMATOMA-SIMPLE 10141 I&D OF HEMATOMA-COMPLICATED 10160 NEEDLE ASPIRATION-ABS/HEMATOMA 11000 DEBRIDEMENT INFECTED SKIN
– Discussion: – it is essential to locate axillary nerve when performing any anterior shoulder reconstruction; – to facilitate nerve identification, place arm in adduction & in neutral rotation; – pass a finger along lower aspect of subscapularis, inorder to palpate nerve as it passes medially along subscapularis to … Read more
– Discussion: – determine volume status of the patient; – SIADH (Normovolemic) – Volume Excess Hyponatremia – Volume Depleted Hyponatremia; – may be seen endurance athletes, military, and marathoners after prolonged exertion; – due to excess free water intake that fails to replete massive sodium losses that … Read more
– See: Action of Parathyroid Hormone: – Discussion: – most common cause of hypoparathyroidism is inadvertant damage or removal of the parathyroids during surgical removal of the thyroid; – in idiopathic cases, look for ectodermal changes, mental retardation, monilial infections, low Ca; – congenital hypoparathyroid & late onset hypoparathyroidism from … Read more
– Discussion: – rare form of rickets which is often hereditary (autosomal recessive); – characterized by reduction in alkaline phosphatase; – premature loss of teeth is common in children and adults; – skeletal changes: – may present in infants, children, or may be delayed until adulthood; – radiographs show an excessive amount of unmemeralized osteoid … Read more
– Discussion: – normal phosphate serum levels are 3 to 4.5 mg/dL in adults and 4 to 7.5 mg/dL in children (Boyd & Olin, 1984); – hypophosphatemia occurs with serum P levels of < 0.8 mmol/L (2.5 mg/dL);- Differential Dx: – rickets / osteomalacia: – hypophosphatemia is the most common metabolic anomaly in rickets; – hypophosphatemic … Read more
– See: Rickets: – Discussion: – this is the most frequently encountered form of rickets and consists of a genetic or acquired fault in the handling of phosphate in the proximal tubule; – patholophysiology: – decreased reabsorpion of phosphate by the renal tubule (causing hypophosphatemia) (otherwise the … Read more