The Hip - book

Data Trace Editor

Diff Dx Hypokalemia

– as potassium is lost felop Central Pontine Myelinosis);  – Goal is to correct Serum Sodium to a minimum of 125 mEq/lit.  –Look at wt loss and orthostatics; Mild Hyponatremia is corrected orally with 10-20gm NaCl diet and 2-4 liters H2O/day; Sodium may be given with Bicarbonate if @DXMETACID[Acidosis is present; Aggressive treatment involves NS … Read more

Diff Dx in MED

– Legg-Calve’-Perthes disease; Findings in M.E.D. not seen in Perthes: short, stunted metacarpals/metatarsals; irregular femoral heads which is bilateral & symmetric, is not assoc w/ metaphyseal cysts, & commonly has early acetabular changes; early hip arthritis is common; bilateral Legg-Calve’-Perthes disease is uncommon; abnormal normal ossification (tibial “slant sign” flattened femoral condyles; T12/L1 notching and deformed … Read more

Diff dx: Neurogenic joint

(see also: Neuropathic Shoulder) Diabetes mellitus (diabetic charcot foot and ankle) Tabes dorsalis Syringomelia Septic Elbow in the Setting of Neuropathic Joint as the Initial Presentation of a Cervical Syrinx Meningomyelocele Leprosy Tumors of the spinal cord Degenerative spinal disease with nerve root compression Subacute combined degeneration of the spinal cord Amyloid neuropathy Giantism w/ … Read more

Diff Dx of Bradycardia

– Well trained atheletes, nl variant  – Nl variant during sleep  – B blockers  – DIGOXIN  – Verapamil / diltiazem  – Hypothyroidism  – Sick sinus syndrome/Organic heart dz

Dictation for LRTI

 DESCRIPTION OF PROCEDURE: After induction of satisfactory axillary  block anesthesia, patient’s left upper extremity was prepped and  draped in the usual sterile fashion.  After exsanguination of the draped in the usual sterile fashion.  After exsanguination of the  left upper extremity with Esmarch, pneumatic tourniquet was placed at 300 mmHg.  Longitudinal incision was made over the volar radial aspect of the … Read more

Diff Dx: Blood Urea Nitrogen (BUN) 7-18 mg/dL

– See: Uremic Bleeding: Increased: Renal Failure/Oliguria Shock Hypovolemia: (BUN/Cr ratio > 20) CHF Shock GI bleeding Stress/Heavy Exercise Meds (Aminoglycosides); Decreased: Overhydration Starvation Liver failure Pregnancy, Nephrotic syndrome  Urinary urea nitrogen: too insensitive for calculating nitrogen balance studies in surgical clinical nutrition [see comments]

Diff Dx Hyperkalemia

– See: EKG Changes – Nl Values: Adult 3.5-5.1 mmol/L, Child 3.4-4.7 mmol/L; – Diff Dx:     – factitious increase (hemolysis of specimen, thrombocytosis     – leukocytosis, prolonged tourniquet placement for venipuncture;     – renal failure (acute, chronic), RTA, Addison’s dz, acidosis     – spironolactone, triamterene, dehydration/hypovolemia, hemolysis,     – … Read more