Medical Malpractice Insurance for orthopaedic surgeons

Discussion of PVCs

   – See: V Tach  – More than 6 per min, 3 in a row, or R on T is pathological;  -Note if they are from the same focus;  – P waves may be present be will have no relation to QRS wave of PVC;  – QRS is usually > 0.12 seconds w/ Left bundle … Read more

disaster_preparedness_toolbox_explore

   Toolbox offerings: Journal – Special themed issues of the Journal of Surgical Orthopaedic Advances exclusively devoted to disaster preparedness and trauma care.   Online Textbook – Wheeless’ Textbook of Orthopaedic Surgery contains the Disaster Preparedness Toolbox tab. Information is presented in a textbook-like format to review and refresh your trauma skills.  The SOMOS Core Curriculum and … Read more

Disc Herniation

– See:        – Herniated Disc in the Child:        – Intervertebral Discs: – Anatomy:     – disc herniation may vary in severity from disc protrussion to disc extrusion, to finally disc sequestration;     – disc containment:           – w/ a contained disc herniation, the … Read more

Discussion of Fibroma

– See:          – Soft Tissue Menu          – Desmoplastic fibroma          – Fibromatosis – Discussion:     – solitary, beinign fibrous tumor of sof tissue;     – it may occur at any age;     – lesions arise as a slowly enlarging soft tissue mass;     – palmer and planter aspects … Read more

Dipyridamole/Persantin

– For prevention of thromboembolic d/o; chronic Angina pectoris;  – Decreases aggregation of platlets;  – Dose: Antiplatlet effects: 100 mg PO tid/qid (usually with aspirin);  – Angina: 50 mg PO tid; Supplied: Tabs: 25mg, 50mg, 75mg;  – Note: Aspirin potentiates the antiplatlet effects

Dirithromycin / Dynabac

Discussion broad spectrum macrolide antibiotic; indicated for bronchitis due to haemophilus, moraxella, streptococcus; may also be used for community acquired pneumonia due to legioella and mycoplasma as well as skin infections due to staph aureus; needs to be taken with food; typical dose 500 mg PO qd for 5 days; does not interact with cytochrome … Read more

Disaster Preparedness Toolbox

DT MedSurg, LLC (a Data Trace company), with educational support provided by Stryker, presents the launch of  a new initiative, The Disaster Preparedness and Trauma Care Toolbox,  featuring the Society of Military Orthopaedic Surgeons (SOMOS)     The Disaster Preparedness and Trauma Care Toolbox   As a civilian orthopaedic surgeon you may never need to … Read more

Digoxin: Interactions and Toxicities

– Digoxin metabolism is Inhibited by:  – Erythromycin  – Tetracycline  – quinidine may double Dig levels;  – Verapamil and Amiodarone  – Hypokalemia and HypoMagnesemia and Hypoxia will potentiate toxicity,  – Digoxin bioavailability is decreased by:  – cholestyramine,  – KAOLIN-pectin  – antacids;  – Can cause heart block;  – Toxicity = N/V, diarrhea, HA, GI symptoms, anorexia, … Read more