Dental Care
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Prevention and Management of Infections from Dental Procedures:
Total Joint Replacements: – Need for Future Prophylactic Antibiotics – American Dental Association – AAOS Advisory Statement: Antibiotic Prophylaxis for Dental Patients with Total Joint Replacements – indication for prophylactic antibiotics for total joint patients undergoing dental and endoscopic procedures have been debated in the litterature; – despite the … Read more
Depolarization
– Discussion: Stimulus for Contraction: – stimulus for muscle contraction is an electrical impulse from motor nerve at the motor end-plate or neuromuscular junction; – when sarcolemma is stimulated by an incoming impulse, sodium, potassium, and chloride ions move about w/in transverse tubules to spread impulse and depolarize membranes; … Read more
DeQuervain’s Disease
– See: – Anatomic Snuff Box – First Compartment – Discussion: – a stenosing tenosynovitis of APL & EPB tendons (first compartment) at the styloid process of the radius; – inflammation causes thickening & stenosis of synovial sheath of first compartment & pain w/ tendon movement; – most common in women between 30 and 50 … Read more
Dermatology Care
– Cellulitis GMO Manual Iowa Family Practice Handbook Merck Manual – Cutaneous Abscess GMO Manual Iowa Family Practice Handbook Merck Manual – Dermatitis GMO Manual Iowa Family Practice Handbook Merck Manual – Dermatophytosis Iowa Family Practice Handbook Merck Manual
Dermatomyositis and Polymyositis
– See: – Myopathic Disorders – Ossification of Soft Tissue and Periosteum: – Discussion: – most common collagen vascular diseases which affect muscle; – pts may be affected at any age; – may be due to viral infection; – in adults, note possible concomitant occult neoplasm; – Clinical Findings: – systemic illness; – muscle … Read more
Deltoid Ligament
(See also: Deltoid Ligament Injuries due to Ankle Fractures) Anatomy and Function medial side of ankle is stabilized by deltoid ligament, which always has: tibionavicular, tibiospring, and deep posterior tibiotalar ligaments superficial deltoid: originates from anterior & inferior aspects of medial malleolus fanning out & sending 3 bands to navicular and along plantar calcaneonavicular (spring) … Read more
Deltoid Ligament Injuries arising from Ankle Frx
– Discussion: – in absence of a medial malleolar fracture deltoid ligament may be stretched or torn in all oblique frx of fibula; – this ligament prevents posterior tibial tendon from slipping into ankle joint; – ligament ultimately heals in a lengthen position; – these … Read more
Deltoid Muscle
– See: Shoulder Abductors – Discussion: – major function of the deltoid muscle is to abduct arm; – it performs this action after scapula[scapula has been fixed by its stabilizing muscles and the humeral head has been snubbed to glenoid by the rotator cuff; … Read more
Deltopectoral Approach: Superficial Dissection
– See: Anterior Approach to the Shoulder and Total Shoulder Arthroplasty – Incision: – deltopectoral internval separates plane between axillary innervation (deltoid) and lateral and medial pectoral innervation to pectoralis major (incision should stay just lateral to the axillary skin crease); – ensure that the shoulder is position in neutral rotation and slight … Read more