Diagram of Two Shoulder Incisions
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Diastrophic Dwarfism
Discussion rare type of skeletal dypslasia characterized by extreme short limb dwarfism, with specific hand, foot, and ear abnormalities; micromelic short-limb dwarfism, cauliflower ears, scoliosis, hitchhiker thumbs, and clubfeet. these individuals have extremely short stature, with a mean adult height of 118 cm; condition was originally referred to as diastrophic dwarfism,” which means “crooked or … Read more
Diazepam / Valium
– Discussion: for anxiety, muscle spasm, status epilepticus, sedation preop; Adult: Stat elepticus: 0.2-.5mg/kg/dose IV q15-30 min. w/ maximum dose of 30mg; 0.2-0.5 mg/kg/dose PO / 0.05-0.2 mg/kg/dose IV; Peds: status epilepticus: < 5yrs: 0.2-0.5 mg/kg/dose IV q15-30 min up to max of 5 mg; >5 yrs may administer to max of … Read more
DIAZOXIDE/HYPERSTAT, PROGLYCEM
– for hypertensive emergencies; Adult: Hypertensive crisis: – 1-3mg/kg/dose IV up to maximum of 150mg IV; – may repeat 15 min later, then at 4-24hr intervals; – or try: 50mg IV injected in 3min q15min x 2 doses while monitoring BP q5min; – max dose = 300–450mg; Peds: Hypertensive crisis: Supplied: Injecion 300 mg/20 ml; … Read more
Diclofenac / Volteren
– Discussion: – NSAID: inhibits various lipoxygenase enzymes; – decrease the production of leukotrienes and prostaglandins from leukocytes and synovial cells by stimulating reincorporation of free arachidonic acid into triglycerides; – Arthrotec: – combination of misoprostol and volteren … Read more
Dicloxacillin/dynapen
– Adult: 0.5-1gm q 6hr PO or 12.5mg/kg/24hr; – Dosing Regimens for Patients with Renal Insufficiency: (Dose for70kg Adult {gm/ dosing interval in hours}) CrCl: >80; 0.5/6; CrCl:50-79::0.5/6; CrCl:30-49; 0.5/6; CrCl:10-29: 0.5/6 – 40 % of dose will be excreted in urine (w/ nl R F(x)) – Bad Taste (bad for Chlidren) – Peds … Read more
Total Joint Replacement – Importance of Glucose Control in Diabetics
– Discussion: – diabetes menu and see preoperative infection control – preoperative blood glucose should be less than 125 and postoperative glucose should be less than 200 Total knee replacement in patients with diabetes mellitus. Total knee arthroplasty in diabetes mellitus. Risk Factors for Surgical Site Infection Following Orthopaedic Spinal Operations Early hyperglycemic … Read more
Diabetic Foot and Ankle
– See: – Diabetes Menu – AliMed – diabetic resources – Pathological Conditions: – natural history leads to autonomic dsyfunction (loss of skin pliability), motor changes lead to altered wt bearing forces on the foot, and sensory dysfunction leads to formation of skin breakdown and wounds (leading cause of amputation); – vascular pathology – diabetic charcot … Read more
Diabetic Foot and Ankle: Vascular Pathology
– See: – Diabetic Foot Menu – Osteomyelitis in the Diabetic Patient – Amputations in the Diabetic Patient – Discussion: – several abnormalities of cutaneous circulatory anatomy & hemodynamics exist in pts with diabetes; – increased incidence of atherosclerosis, calcification of tunica media, & thickening of tunica … Read more
Diabetic Skeletal Muscle Necrosis
– Discussion: (tumoriform focal muscular degeneration); – poorly defined process which occurs in long term diabetics; – other names for this syndrome include: tumoriform focal muscular degeneration and idiopathic diabetic muscle infarction; – may be confused w/ sarcoma, deep infection, or even a compartment syndrome (the mass may be … Read more