Data Trace Editor – See: – Inotropic Agents – Indications for Dopamine: * infuse at initial rate: 2-5 ug/kg/min, then titrate to effect, * max = 50 ug/kg/min based on effect; * at 2 – 5 ug/kg/min: dilates renal, & intestinal arterioles; * 2-10ug/kg/min (Beta > Alpha); (ideal dose range) – positive inotrop; increases CO; * … Read more
– See: – Plating Techniques – Radial Shaft Fractures: Discussion – Discussion: – dorsolateral approach is best suited to frxs of proximal & middle thirds of radius as well as to address injury to proximal RU joint; – advantages: – … Read more
– Clinical Findings: – patients may note pain with activities that occur in adduction (golf back swing); – local tenderness to palpation and to hyper-adduction; – trapezial spasm; – patients will often note pain located posterior to the AC joint; – steroid-lidocaine injection: – remember that AC joint injections … Read more
Acetazolamide Amilordie Bumetanide Chlorthalidone Ethacrynic acid Furosemide Hydrochlorothiazide Indapamide Mannitol Metolazone SORBITOL Spironolactone Triamterene
– Discussion: – w/ arm in external rotation, upper & lower borders of subscapularis can be visualized and palpated; – rotator cuff interval (soft spot) between supraspinatus & subscapularis is identified; – subscapularis tendon is tagged just shy of insertion; – subscapularis tendon and subajacent capsule are … Read more
– Discussion: – contractures and progressive weakness of lower extremities render walking increasingly difficult for patients who have DMD; – average patient is unable to walk effectively by the time that he is ten years old, in the absence of treatment; – age at which walking ceases, however, is … Read more
– Discussion: – adduction contractures of shoulder and flexion contractures of elbow are not a problem in themselves, as muscle weakness renders patient unable to abduct the arm above the level of the shoulder or to extend the elbow against gravity; – pronation contractures of the forearm and flexion contractures … Read more
Discussion progressive paralytic equinovarus is an important reason for gait deterioration in pts w/ DMD; equinus contracture compensates for incr quadriceps weakness & allows knees to lock by enabling wt line to pass in front of knee joint; feet become progressively fixed in equinus & then equinovarus position; posterior tibial muscle retains good f(x) despite … Read more
– See: – Duchenne Muscular Dystrophy – Scoliosis – Discussion: – Discussion: – scoliosis is almost universal in pts who have DMD, and it usually develops after they lose the ability to walk (after age 10 yrs); – early scoliosis develops … Read more
– See: – IM nailing of tibia fractures – menu – tibial plafond fractures – Distal Tibia Fracture: – see: external fixation for distal tibia fracture, outcomes of external fixation vs IM nailing, and plate fixation; – w/ frx extension into the joint, consider placement of percutaneous … Read more