Ortho Oracle - orthopaedic operative atlas

Demeclocycline

– for SIADH and antimicrobial (of tetracycline family);  – Adult SIADH:300-600mg PO bid; onset in 1 week;  – Antimicrobial:150-300mg PO q12hr;  – Contraindicated with: liver disease; is nephrotoxic, phototoxic, may cause nausea;  – Reduce dose in Renal Failure

Dementia

Medical Intelligence: Current Concepts: Geriatrics: Delirium In The Elderly Patient. Postoperative confusion after anesthesia in elderly patients with femoral neck fractures.

Deep Palmar Arch

– Discussion:     – deep arch is more consistent than superficial palmar arch     – deep arch supplies all digits (complete) in about 97% of population; – anatomy:     – large deep branch of radial artery, w/ pulsations is felt in anatomic snuff box, passes under snuff box tendons &     … Read more

Deep Posterior Compartment

See also: Laeral Compartment Anterior Compartment Superfical Posterior Compartment Discussion contains tibialis posterior, FDL, & FHL; originates primarily from posterior tibia, fibula, & interosseous membrane in proximal 2/3 of leg, these structures are involved in plantar flexion of foot & toes & inversion of foot thru tibialis posterior msucle function; major neurologic structure is posterior tibial … Read more

Delayed Union of Tibial Plateau Frx

– Discussion:     – most tibial plateau frx exhibits bony healing withing 3 months of frx;     – any frx that fails to heal clinically & radiologically in 3 mo is considered to have a delayed union;     – most common cause of delayed union is gradual loss of frx reduction over period … Read more

Delta Phalanx (longitudinally bracketed epiphysis)

– Discussion:     – classic delta phalanx is characterized by a triangular or trapezoidal shaped bone w/ C shaped epiphyseal plate;            – proximal epiphysis curves around from its transverse orientation to a longitudinal one from proximal to distal along one side of the                   phalanx, thus forming a “C”‘     … Read more

Wound Debridement

– Discussion:    – avoid tourniquet when possible    – wound debridement:            – begins at the periphery;         – skin:                 – must extend lacerations proximally and distally inorder to extend the entire trauma zone;                 – excise at least 2 mm of skin edge back to tissue that exhibits bleeding;                 – … Read more