Data Trace Editor – Correction of Underlying Dz if present; – Rapid correction during acute treatment should not exceed 20 mEq/lit rise in serum Na concentration during 1st 48 hrs of Rx; (otherwise may develop Central Pontine Myelinosis); – goal is to correct Serum Sodium to a minimum of 125 mEq/lit. – Water restriction, usually to … Read more
– Management: – preventive therapy with Insoniazid given for 6-12 months is effective in decreasing the risk of future tuberculosis; – persons for whom preventitive therapy is indicated include: household members and other close contacts of potentially infectious persons; – newly infected persons; persons with past Tuberculosis or with a significant … Read more
– Discussion: – 20% of all ganglia – most common site at volar wrist crease between the FCR and APL at the scaphotrapezoid joint; – volar ganglions may be less amenable to aspiration than dorsal ganglions since the radial artery may be adjacent to the cyst – recurrence … 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: – 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: – 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
– 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
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
– 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
–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