Data Trace Editor, Author at Wheeless' Textbook of Orthopaedics : Page 307 of 424

DOLOBID

– Indications and Contraindications are similar to Ibuprofen; – Adults Antiinflammatory: 500-1000 mg PO q12hr w/ meals or milk; – Tabs: 250, 500 mg

– 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

Dorsal Approach (Thompson)

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: much less soft tissue stripping is required with this approach (as compared to anterior approach), and patients can expect much more rapid return … Read more

Distal Clavicle Excision: Clinical and Radiographic Findings:

– 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

Diuretics

Acetazolamide Amilordie Bumetanide Chlorthalidone Ethacrynic acid Furosemide Hydrochlorothiazide Indapamide Mannitol Metolazone SORBITOL Spironolactone Triamterene

Division of Subscapularis & Capsule

– 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

DMD: Contractures of the Lower Extremities

– 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

DMD: Contractures of the Upper Extremities

– 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

DMD: Equinus Contractures

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

DMD: Scoliosis

– 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