Data Trace Editor – 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
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.
* EKG stat; * Control of CP: – NTG: 0.3mg SL q5′ x 2 / NTG: 0.6mg SL x 1 – Morphine 2-4mg alliquots; repeat in 5 min prn; – Will Decrease Pain & CO / Naloxone prn Resp Depress; – Atropine 0.4 mg IV prn Bradycardia; but avoid if possible; – Dramamine prn N/V; … Read more
– See: – Radiographic Features: – Histologic Features: – Painful Tumors: – clinical features associated with bone tumors include pain, deformity, and impairment of function; – pain is feature common to almost all malignant tumors of bone, but may or may not be present in … Read more
– Discussion: – bone provides and environment that significantly alters interaction between bacterial and host defenses in favor of the invader; – bone contains numerous microscopic channels, the walls of which are impermeable to such host defenses as the large molecules of immunoglobulins; – bacteria, once gaining a foothold in these … Read more
– See: friction and lubrication – Discussion: – synovial fluid is an ultrafiltrate of blood plasma plus hyaluronic acid and glycoproteins; – synovial fluid resembles material in interstices of loose connective tissue in respect to both components; – rate and method of passage of substances into & out of … Read more
– for hypertriglyceridemia with serum triglyceride levels >750 mg/dl, types IV and V hyperlipoproteinemia, at risk for pancreatitis and not responding to dietary measures; – Adult: – 600 mg/day PO bid qAC and qHC; – monitor LFT’s (AST, ALT, LDH, Alk Phos) and watch for cholelithiasis; – may enhance effect of WARFARIN
– See: external rotators of the hip: Origin: the outer surface of the spine of the ischium Insertion: the posterior medial surface of the greater trochanter on the femur; Action: external rotation of the femur at the hip; Nerve Supply: sacral plexus, L5, S1, S2; (see innervation) Synergists: piriformis, obturator externus, obturator internus, quadratus femoris, … Read more
Discussion – in 1882, Gaucher described idiopathic hypertrophy of spleen w/o leukemia; – results from autosomal recessive deficiency of lysosomal enzyme glucocerebrosidase (b-glucosidase), which ordinarily destoys the lipid material; – it is the most common genetic lysosomal storage disorder; – results in accumulation of of glucocerebroside in retinuloendothelia cells; – bone involvement is … Read more
– Discussion: – medial and lateral muscle bellies each carry long flaps of skin and fascia from the posterior calf and are most often used as myocutaneous flaps; these flaps are most useful for upper tibial defect reconstruction; – Contra-indications: – knee dislocation or … Read more