Data Trace Editor – If patient has the extracellular volume excess and edema treat volume excess and hyponatremia with water restriction and diuretics; – since most of these states are accompanied by secondary hyper- aldosteronism, spironolactone is a good choice, as long as the pt is not hyperkalemic; – Volume Restrict and Consider Loop Diruetic; – Acute: – … Read more
– See: HypoMg Diff dx – Prophylaxis or Asymptomatic: ( < 1.4) – Mg Oxide 250 mg tabs contains 12.5 mEq (3 to 8 tabs/day to prevent HypoMg) – Mg Sulfate: (50% sol. w/ 8.1 mEq per gm) – prophylactic dose: 4-12 gm/day given IM/IV in D5W; … Read more
–Na deficit: mmol Na = (Serum Na desired – Serum Na) x (TBW) where TBW = 0.6 x wt (kg) –Plan to correct half the deficit over 24 hrs; Note: To raise Serum Na from 120 to 135 for a 70 kg pt, will require 4 lit of NS; – Note: Rapid correction during acute … Read more
– Discussion: – replacement of missing clotting factor remains the essential method of treatment; – many hemorrhages are treated w/ home infusions; – this allows bleeding to be controlled earlier; – major hemorrhagic emergencies are reduced; – Activity of Tranfused Factor … Read more
Clinical Cardiology: Diagnosis, Treatment, and Prevention of Pulmonary Embolism: Report of the WHO/International Society and Federation of Cardiology Task Force. Subcutaneous low-molecular-weight heparin compared with continuous intravenous heparin in the treatment of proximal-vein thrombosis. Heparin for 5 days as compared with 10 days in the initial treatment of proximal venous thrombosis. Is anticoagulation indicated for asymptomatic postoperative … Read more
– Open Resection: – short transverse incision directly over the mass; – dorsal ganglions are often located between the EPL and EDC tendons; – retinaculum is incised between the 2nd and 4th extensor compartments (EPL tendon sheath need not be incised); – main cyst and its pedicle … Read more
– Discussion: – often patients will note pain weeks to months after the cast is removed; – w/ excessive dorsal tilt, will often develop a symptomatic ulnar mid-carpal instability (or carpus adaptive DISI); – in the report by Taleisnik and Watson (1984), the average amount … Read more
– See: – Casting of Scaphoid Fractures – Surgery and Approach to the Scaphoid – Herbert Screw Fixation of Scaphoid Fractures – Closed Reduction of Scaphoid Fractures – Radiographic Imaging – Definition: Unstable Scaphoid Fracture – Discussion: – one must differentiate between stable & unstable acute frx, since stable fractures … Read more
– Discussion: – treatment is directed at stabilizing hip that has positive Ortolani or Barlow test or to reducing dislocated hip w/ mild to moderate adduction contracture; – implications of positive Ortolani & Barlow’s Test are different; – Barlow’s Test identifies unstable hip that requires dynamic … Read more
– See: – DDH – Impediments to Reduction in DDH – Medial Approach to Hip – Open Reduction – Pelvic Osteotomy – Treatment Goals: – goal is to achieve and manitain a concentric reduction of hip joint; – concave acetabulum cannot develop without concentric force … Read more