Data Trace Editor – See: Antidiabetic Medications: – for type II diabetes; sulfonylurea hypoglycemic; – Adult: 5mg PO qAM; titrate as need; – Precautions: – reduce dose in elderly; watch disulfiram rxn; – contraindicated w/ DKA, use w/ caution in patients w/ renal or hepatic dz; – hypoglycemicaction of glipizide may be potentiated by drugs that are highlyprotein … Read more
– Discussion: – glomus body is a neuromyoarterial apparatus; – glomus is a controlled arteriovenous anastomosis or shunt between terminal vessels; – its function is to regulate peripheral blood flow in the digits; – majority of the lesions occur in females between the ages of … Read more
– Discussion: – for treatment of severe hypoglycemic reactions in diabetic patients with insufficient liver glycogen stores; – Adult: 0.5 – 1.0mg SQ, IM, or IV, repeated at 20 min intervals as needed; – administration of IV glucose is necessary if pt fails to respond to glucagon; – Peds: 0.03-0.1 mg/kg/dose SQ, IM, or IV … Read more
– Discussion: – a common benign but locally aggressive lesion of unknown etiology; – occurs chiefly in men between 20-50 yrs (after epiphyseal closure); – tumor is expansile lytic lesion that involves the epiphysis & metaphysis; – tumor may enlarge to occupy most of epiphysis & adjacent metaphysis; … Read more
– Discussion: – GCT of tendon sheath are not really tumors but reactive lesions, which are similar to PVNS; – they do not always arise from the tendon sheath but may arise from the synovium; – it is the second most common benign hand tumor next to ganglions; … Read more
– Girdlestone: – references: – Treatment of chronic infected hip arthroplasty wounds by radical debridement and obliteration with pedicled and free muscle flaps. – Management of the Recalcitrant Total-Hip Arthroplasty Wound. – Resection arthroplasty of the hip
– Discussion: – this procedure allows long toe flexors to behave like intrinsic muscles producing active plantar flexion at MP joints & extension at IP joint; – indicated for flexible hammer toes and claw toes; – inform pt that toe ischemia sometimes follows correction of this … Read more
Achondroplasia Multiple Epiphyseal Dysplasia Multiple Cartilaginous Exostoses Osteogenesis Imperfecta Marfan’s Mucopolysaccharidoses Hypophosphatemic Vitamin D-resistant rickets Medical Progress: Epiphyseal Disorders. Pathogenic mechanisms in osteochondrodysplasias. Asymmetrical arrest of the proximal tibial physis and genu recurvatum deformity. Adolescent tibia vara: alternatives for operative treatment.
– Discussion: – arises from L1 and L2; – in abdomen, it descends on anterior surface of Psoas and then divides into genital and femoral branches; – genital branch innervates cremaster muscle and gives twigs to scrotum and adjacent thigh; – femoral branch passes under inguinal ligament & … Read more
– See: Aminoglycocides – Discussion: – indicated for serious Gm Neg infections caused by suseptable Pseudomonas, Proteus, E. coli, Klebsiella, Enterobacter sp., Serratia, and Gm Neg Sepsis; – as with all aminoglycocides, gentamicin binds to bacterial ribosomes and inhibits protein synthesis; – tobramycin is more active than gentamicin against Pseudomonas, including … Read more