Ortho Oracle - orthopaedic operative atlas

TRIMETHAPHAN / ARFONAD

– See: After-Loading Agents:  – Discussion:  – for production of controlled hypotension during surgery;  – treatment of HTN Crises, HTN, pulmonary hypertension;  – note additive effect w/ other Antihypertensive agents;  – Adults: 0.5-1mg/min IV infusion titrated to effect

Trimethobenzamide/Tigan

– for control of NAUSEA and VOMITING; acts on trigger zone in medulla oblongata, determine etiology of vomiting before using Antiemetics; – Dosage: 250mg PO tid to qid; Injection:200mg IM tid/qid

Trimethoprim-Sulfamethoxazole/Bactrim/Septra

– Discussion:     – for UTI, otitis media, acut exacerbation of chronic bronchitis, pneumocystis carini;     – has an excellent spectrum of activity against beta lactamase-producing staph, and can be effective as an antistaphylococcal agent;     – septra not effective vs. group A strep;     – adult dose:       … Read more

Triphasic Bone Scan

– See: Technetium 99m – Discussion:     – initial dynamic images are aquired over the area of concern and then followed immediately afterwards by static images obtained over             longer periods of time; – First Phase:     – demonstrates perfusion to a lesion;     – first phase, the nuclear angiogram or flow phase, … Read more

Triplane Fracture

– Discussion:     – name derives from the fact that the fracture exists in the frontal, lateral, and transverse planes;     – frx tends to occur in older children and young adolescents during an 18 month window, prior to physeal closure;           – lateral portion of epiphysis is the last to close leaving it vulnerable to injury;     – … Read more

TRIFLUOPERAZINE/STELAZINE

  for psychotic disorders; Phenothiazine; Adult:1-2mg PO bid initially; maintenance 15-20mg/day;  Note must decrease dosage in elderly and debilitated patients; oral concentrate must be diluted to 60ml or more prior to administration; Side Effects: Sedative: +; EPS: +++; Hypotensive Effects: +; AntiCholinergic: +

Trigger Finger: Non Operative Treatment

– DIP Joint Immobilization:     – immoblization of the DIP joint is extremely useful in preventing triggering in all of the fingers including the thumb;     – DIP immobilization (leaving the PIP free), has minimal functional limitations and most patients can work without restrictions;     – technique: consider applying two layers of … Read more

Trigger Finger / Tenosynovitis

– See: – Phalangeal Injury – Congenital Trigger Thumb – Rheumatoid Trigger Finger – Discussion: – results from localized tenosynovitis of superficial and deep flexor tendons adjacent to A1 pulley at a metacarpal head; – inflammation causes nodular enlargement of tedon distal to pulley; – occurs most often in middle or ring fingers (occassionally in … Read more