Data Trace Editor – 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
– Discussion: – acute slip: – acute on chronic slip: – chronic slip: – treatment of is designed to fuse epiphysis on femoral neck which prevents further slipping; – this usually involves insertion of one or more screws into anterior aspect of greater trochanter or … Read more
for insomnia, sedative, hypnotic; short acting benzodiazepine: Initially .125mg (elderly)– 0.25mg (Adult) at hs; usual dose range:.25-.5mg PO hs prn; decrease dose in the elderly or debilitated patients; Note that pyschic and or physical dependence may occur; additive CNS depression with ETOH and other depressants; hallucinations may occur in the elderly; Contraindicated with hypersensitivity to … Read more
(based on classification of King et al) assistance provided by Ben Allen Jr. M.D. … Read more
– See: – see quadrangular space – Formed by Borders of: -Teres Major -Teres Minor – Long Head of triceps – scapular circumflex artery travels posteriorly thru trinagular space
– See: Steroids Menu – Preparations for Intra-articular Injection: – triamcinolone hexacetonide (Aristospan) – used for large joints; – has a tendency to cause skin atrophy and hypopigmentation; – has a long lasting effect; … Read more
– See: – Ligaments of the Wrist and RU Joint – Discussion: – is ulnar continuation of distal radius & presents concave surface for articulation w/ lunate & triquetrium; – ular side of the wrist is supported by the TFCC, which articulates w/ both the lunate and the triquetrum; – TFCC is prone to injury due … Read more
– See: HypoMg Diff dx – Prophylaxis or Asymptomatic: ( < 1.4) – Mg Oxide 250 mg tabs contains 12.5 mEq (3 to 8 tabs/day to prevent HypoMg) – Mg Sulfate: (50% sol. w/ 8.1 mEq per gm) – prophylactic dose: 4-12 gm/day given IM/IV in D5W; … Read more
– Correction of Underlying Dz if present; – Rapid correction during acute treatment should not exceed 20 mEq/lit rise in serum Na concentration during 1st 48 hrs of Rx; (otherwise may develop Central Pontine Myelinosis); – goal is to correct Serum Sodium to a minimum of 125 mEq/lit. – Water restriction, usually to … Read more
– If patient has the extracellular volume excess and edema treat volume excess and hyponatremia with water restriction and diuretics; – since most of these states are accompanied by secondary hyper- aldosteronism, spironolactone is a good choice, as long as the pt is not hyperkalemic; – Volume Restrict and Consider Loop Diruetic; – Acute: – … Read more