The Hip - book

Diltiazem/Cardizem

(See also: Class IV Agents) For Angina pectoris, HTN; Adults: 30mg PO qid intially, then 180-360 mg/day in divided doses; SR formulations available: 60, 120, 180 mg PO bid; CD form available as 240 mg; may be used in combo w/ NTG, or Beta blockers Precautions: must observe for Bradycardia or Hypotension; bradycardia, & Prolonation … Read more

Diphenhydramine/Benadryl

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> strong>- Discussion:/strong>br/>     – for motion sickness, potentiation narcotics, sedation, cough supression, for allergic reactions, for extrapyramidal reactions;br/>     – adult: 25-50mg PO/IM/IV (slow direct injection) bid-tid;br/>     – ananti-histamine with many anticholinergic effects including dry mouth, urinary retention;br/>     – increase dosing interval in … Read more

DIPHENOXYLATE w/ ATROPINE/LOMOTIL

– For diarrhea; inhibits excessive gastrointestinal motility;  – Adult: intitially 2 tabs or 10ml PO tid/qid, til controlled, then 1 tab or 5ml PO bid;  – Can be habit forming;  – Avoid w/ infectious diarrhea;  – Peds: < 2yrs: Do not use; 2-5 yrs: 6mg/24hr PO divided tid;  – 5-8 yrs: 8mg/24hrs PO divided qid;  … Read more

Differential Dx of C-Spine Pathology

  – Myelopathy: Diff Dx:   – Myopathic Disorders   – Stroke / TIA;   – Multiple Sclerosis   – Amyotrophic Lateral Sclerosis   – Thoracic Outlet Syndrome;   – Pancoast Tumors   – Reflex Sympathetic Dystrophy   – Brachial Neuritis (upper & lower motor neurons, sensation is Nl);   – Spinal Cord Tumor   … Read more

Differential Dx of Hemarthrosis

– See: Puncture of the Knee Joint – Discussion:     – non-bloody effusion suggests an irrative synovitis that may be caused by degenerative meniscusor a chronic process with no             super imposed acute injury;     – absence of hemarthrosis is not indication of less severe ligament injury, since severe disruptions often cause only minimal joint  … Read more

Differentiation SVT vs V Tach

– Definition of V tach:  – by definition, 4 or more PVCs in a Row;  – appears as wide QRS usually with Left B.B.B. pattern (as opposed to a narrow complex seen with SVT);  – may occurs short paroxysm or as sustained run w/ rate between 120-250 BPM;  – SVT vs VT – aberrant conduction … Read more

Diffuse Idiopathic Skeletal Hyperostosis

– Discussion:     – also known as Forestier’s disease;     – disease involves non-marginal syndesmophytes present at at three successful vertebral levels;           – commonly there will be no disc & joint narrowing & nor osteoarthritis;           – differentiated from AS, w/ marginal syndesmophytes;   … Read more

Diflunisal/Dolobid

– NSAIA;  – for musculoskeletal pain and osteoarthritis;  – adult dose: 500 mg every 8 to 12 hours (500-1500 mg/day PO divided doses);  – ? may increase PT;  – w/ impaired renal or hepatic function, cut dose in half;  – Tabs: 250, 500 mg