Data Trace Editor – dosage must be adjusted in pts with impaired renal failure to assure adequate, but not excessive, blood levels; – one method of dosage adjustment is to increase the interval between administration of the usual dosages; – the interval between doses (in hrs) may be approximated by multiplying the serum creatinine level (mg/100 ml) by 8; … Read more
– Discussion: – bilateral angular deformity: common and is most often physiologic; – normal knee alignment progresses from 10-15 deg of varus at birth to maximal valgus angulation of 10-15 deg at age of 3-3.5 yrs; – neutral alignment: … 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
* 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
– 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
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
– 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
– 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: 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
– 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