Data Trace Editor – plasma volume expander, for treatment of shock, – Discussion: – synthetic colloid with actions similar to Albumin; – can be safelly used to a total volume of 1.5 liters; – its available as 6% solution in normal saline w/ osmolarity of 310 mOsm/l; – it generally provides plasma volume expansion for more than … Read more
– See: Ossification of Soft Tissues: and Myositis Ossificans – Discussion: – occurence and formation of mature bone in non-osseous tissue; – may present w/ signs of localized inflammation or pain, elevated skin temp, ect. – tends to occur after thr, spinal injury, head injury (11%), burns, bruises, elbow trauma, total hip replacement; … Read more
– Discussion: – extraarticular bleeding may involve muscles, nerves, blood vessels, and even bones; – slowly expanding hematoma will interfere w/ function & perfusion of surrounding tissues; – intramuscular hematomas that fail to resorb quickly lead to fibrosis, contracture, cyst formation, or myositis ossificans; – bleeding into the calf muscles may cause a severe equinus … Read more
(see also: coag pathway) Discussion disease is most crippling when repeated bleeding into joint produces arthritis; left untreated most severe hemophiliacs will suffer crippling arthritis in one or more joints by early adolescence; after joint bleed, or hemarthrosis, synovium must absorb degradation products of the blood; repeated hemarthroses will cause synovial hypertrophy and inflammation; some hemophiliacs develop … Read more
– For routine immunization of children 18 mo – 5 yrs of age against diseases caused by Haemophilus influenza type B; – Actions: Hemophilus B conjugate w/ Diptheria toxin; active immunization; – Dosage: 0.5 ml (25ug) IM in Deltoid or Vastus Lateralis; – Supplied: Injection 0.25 ug/0.5ml; – Booster not required; – Not protective at … Read more
– Discussion: – a vasculitis of unknown etilogy; – mean age of onset is 6 years; – small vessel vasculitis involving: – skin: – rash is typically from the waist down; – rash begins w/ urticaria but quickly turns … Read more
– Discussion: – general features: – pediatric bone circulation – age of patient: – osteomyelitis in the newborn – in infants below the ages of 1 year, some metaphyseal vessels may transverse … Read more
– See Weiland’s Classification – Discussion: – in cases of eventually proven osteomyelitis: – < 5% of radiographs are abnormal; – < 1/3 of radiographs are positive by one week; – by 3-4 weeks about 90% of radiographs … Read more
– See: Uremic Bleeding – Discussion: – w/ bleeding consider need for DDAVP, additional transfusions (which may decr bleeding in RF), and aggressive dialysis; – intravenous administration of erythropoietin in doses ranging from 25 to 500 U /kg of body wt 3 times a week causes a dose-dependent rise in the hematocrit and eliminates … Read more