Data Trace Editor – Discussion: – Gadolinium-DTPA is a contrast material that is distributed in extracellular fluid and has paramagnetic properties; – it enhances edematous structures in T1 images; – it allows differentiation of recurrent disk herniations from scar tissue
Discussion frx of radial shaft (between middle and distal 1/3’s) & dislocation of distal radioulnar joint; usually the dislocation is dorsal, but in some cases can be palmar; frx is almost always located just above proximal border of pronator quadratus; usually there is anterior angulation w/ transverse or short oblique config; ref: A Historical Report … Read more
– Treatment in Children: – frx is usually displaced dorsally and shortened in bayonette position; – due to the significant force needed for reduction, consider GEA; – closed reduction w/ longitudinal traction, & correction of radial angulation; – … Read more
– Positioning and Prepping: The patient is placed on a beanbag support in the lateral position. The entire axilla to foot area is prepped with betadine solution. A waterproof stockinette is used on the lower extremity with a sterile tourniquet in place at the thigh. Betadine impregnated vidrapes are used to isolate the hip and … Read more
– Technique: When the lateral femur is exposed, a 3 mm guide pin is placed into the center of the necrotic area. Care must be taken, particularly on the lateral view, that there is enough room in the neck on both sides of the guide pin to pass a 21 mm reamer if needed. The … Read more
– Discussion: – Fibular Harvest: – Hip Preparation: Various methods have been advocated for the treatment of acascular necrosis of the hip in the young patient. From the literature an operative treatment for the symptomatic hip is the conservative method of management. Reports on core decompression, osteotomies, electrical stimulation, and bone grafting have been difficult … Read more
– Vessel Exposure: Exposure of the donor vessels is optimized with the use of a large self retaining retractor superior in the wound as well as the Charnley retractor. The microscope is brought in to perform the anastamosis. The vein is coupled first. This prevents any bleeding which could obscure the field if the … Read more
– Discussion: – occur primarily as opportunistic infections in immunocompromised patients; – most often due to candida; – histology: noncaseating, acid-fast-negative infections; – organism are identified with a positive fungal culture, potassium hydroxide slide preparation, or Gomori methenamine silver stain – in … Read more
– for Edema, HTN, CHF; – loop diuretic that inhibits Na and Cl reabsorption at the loop of Henle; – has direct venodilating effect useful in Rx of acute pulmonary edema accompanied by volume overload – try 20-40mg IV; – CHF/Acute Pulmonary Edema Dose IV Dose: 20-40mg (over 2-5 min) if insufficient response, may … Read more