Data Trace Editor – Discussion: – in adults, a two-stage anterior and posterior procedure is performed; – w/ this technique, rate of pseudarthrosis is < 5 %; – CD instrumentation: – another advantage of this instrumentation is improved fixation to sacrum, w/ pedicular screws used instead … Read more
– See: – ALIF with Revision Decompression and Reinstrumentation – Anterior-Posterior Lumbar Interbody Fusion – Posterior Lumbar Single-Level Decompression and Fusion with Instrumentation – Anterior Arthrodesis of the Subaxial Cervical Spine: – AAOS – Bulletin: A minute of malpractice – Cage Fixation: (interbody fusion) … 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
– 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
– See: STSG – Discussion: – full thickness grafts transfer all organs contained in the dermis in addition to some Pacinian corpuscles (when the graft is taken from the palm or sole); – these grafts allow more durable coverage and more sensation than STSG; – donor site: … Read more
– See: – Burn Management: – Chemical Burns: – Electrical Burns: – Frost Bite: – Discussion: – full thickness injury which extends thru the entire dermis, and therefore spontaneous re-epithelialization will not occur; – clinical features: wound is insensate, … Read more
Fracture Distal Ulnar Fracture: … Read more
– Discussion: – 70% of carpal frx occur at waist of scaphoid (narrow part of bone); – 90% heal after w/ immobilization, but there is 5-10% complication rate; – blood supply to the proximal portion is usually intact and healing will take place if adequately reduced; … Read more
– Discussion: – frx usually is not widely displaced, and healing is generally prompt if immobilization in a plaster gaunlet is maintained for 6-8 wks; – frx of distal third heal in approx 6-8 weeks; – if x-rays fail to clearly demonstrate trabeculae crossing site of frx, CT … Read more
– See: – Frx of Medial Condyle in Adult: – Discussion: – rare injury; – look for medial sided pain; – unlike frx of medial epicondyle, elbow dislocation usually does not occur in this injury; – in the report by Leet AI, et al … Read more