The Hip - book

Triazolam/Halcion

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

Triangular Space of Shoulder

– See:       – see quadrangular space  – Formed by Borders of:      -Teres Major      -Teres Minor      – Long Head of triceps – scapular circumflex artery travels posteriorly thru trinagular space

Triamcinolone

– 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

Treatment: SCFE:

– 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

Treatment Options for Scoliosis

        (based on classification of King et al)                                                                            assistance provided by Ben Allen Jr. M.D. … Read more

Treatment of Volar Wrist Ganglions

– Discussion:     – 20% of all ganglia     – most common site at volar wrist crease between the FCR and APL at the scaphotrapezoid joint;     – volar ganglions may be less amenable to aspiration than dorsal ganglions since the radial artery may be adjacent to the cyst     – recurrence … Read more

Treatment of Tuberculosis Infection

– Management:     – preventive therapy with Insoniazid given for 6-12 months is effective in decreasing the risk of future tuberculosis;     – persons for whom preventitive therapy is indicated include: household members and other close contacts of potentially infectious persons;     – newly infected persons; persons with past Tuberculosis or with a significant … Read more

Treatment of SIADH: See Diff Dx

    – 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