Ortho Oracle - orthopaedic operative atlas

Epineural Nerve Repair

    Images kindly provided by Donald Serafin M.D., Duke University Medical Center   – Discussion:           – epineural repair is currently the gold standard for repair, as no prospective studies have indicated than fasicular repair is superior;     – it is probably most indicated w/ pure sensory or pure motor nerves; – Technique:     … Read more

Epiphyseal Artery

– See:       – Metaphyseal Artery       – Nutrient Artery       – Periosteal Artery – Discussion:     – in femoral and radial heads which are almost entirely covered by cartilage,          – vessels enter in region between articular cartilage & growth-plate cartilage, and hence, the … Read more

Enteral Formulas and Tube Feedings

– See:     – Composition     – Lab tests; (same as TPN) – Discussion:     – elemental diets are most indicated in patients with severe mucosal disease (Inflammatory Bowel disease), short bowel syndrome, proximal pancreatic fistula, pancreatic insufficiency;     – enteral nutrition is not safer than TPN – because of aspiration … Read more

Enterobacter

– initially susceptible strains of Enterobacter cloacae and other organisms in which beta-lactamase production can be induced have become resistant during therapy with broad-spectrum cephalosporins at rates in the range of 10 to 20% Enterobacter bacteremia: clinical features and emergence of antibiotic resistance during therapy Enterobateriaceae surpasses MRSA as leading cause of surgical site infections in UK

Enterococci Grp D

– Discussion:     – type of gram positive bacteria;     – term enterococcus derives from French (enterocoque) describing its enertic origin;     – enterococci include: Strep faecalis, faicium, and durans;     – strep faecalis inhabits the human intestinal tract and is a nonhemolytic strain of generally low pathogenicity;     – … Read more

Eosinophilic Granuloma

– See:       – Bone Tumor Menu:       – Eosinophilic Granuloma of Spine: – Discussion:     – includes a group of disorders characterized by a variety of tumor like lesions, which arise from from clonal proliferation of Langerhans-           type histiocytes;     – most common in children less than 12 … Read more

Eosinophilic Granuloma of the Spine

– See: Eosinophilic Granuloma – Discussion: – Discussion:     – most common in the thoracic spine;     – may present with progressive back pain;     – vertebra plana:           – in 2-6 yrs old child, EOG may present w/ collapse of single vertebra;           … Read more