Ortho Oracle - orthopaedic operative atlas

Data Trace Editor

Buprenorphine/Buprenex

– for relief of moderate to severe pain. – is a partial opiod agonst-antagonist; – Adult: .3mg IM of slow IVP q6hr prn. – may induce withdrawl syndrome in opioid dependent subjects.

Burkhalter Transfer for Claw Deformity

– See:     – Intrinsic Muscles of the Hand:     – Intrinsic Muscles Deficit – Discussion:     – involves motor transfer to the radial side of the mid proximal phalanx, just distal to the attachment site of the lumbrical (as opposed            to insertion on  lateral band);            – this … Read more

Buclizine/Bucladin S Softabs

– for control of nausea, vomiting, dizziness of motion sickness. – Antihistamines; Adult: 50mg PO prophylactically 30 min prior to travel; – Not safe during pregnancy, note any allergic reactions.

Bulbocavernosus Reflex

– Discussion:     – bulbocaverosus reflex refers to anal sphincter contraction in response to squeezing the glans penis or tugging on the Foley;          – reflex involves S-1, S-2, and S-3 nerve roots and is spinal cord- mediated reflex arc;     – following spinal cord trauma, presence or absence of … Read more

Bumetaide/Bumex

– for edema, CHF, hepatic cirrhosis, renal disease;  – Loop diuretic; Adult: 0.5-2mg PO qd or 0.5-1.0 mg IV q8-24hr, as single dose;  – Alternative 1-10mg IV over 1-2 minutes x 1;  – may cause hypokalemia; 1mg Bumex = 40mgfurosemide.

Bunionette / Overlapping 5th Toe Deformity

– Discussion: – bunionette deformity may be created by wide 4-5 intermetatarsal angle; – symptomatic plantar callus is 2nd to concomitant plantar flexion of the fifth metatarsal; – soft corn caused by the pressure of the bone of the proximal phalanx of 5th toe (may be exacerbated by tight shoes); – soft tissue surgery will … Read more

Brompheniramine/Dimetane

– For Allergic Reactions;  – Antihistamine;  – Dose: Adult: 4-8 mg PO tid/qid or 10 mg IM q6-12hr;  – Peds: < 6yrs: 0.5mg/kg/24hrs PO divided q6-8hrs; >6yrs: 4mg PO q6-8hrs or one 8 or 12 mg sustained release tab q8-12 hrs;  – Note: Anticholinergic effects

Brown Sequard Syndrome

Discussion type of incomplete cord syndrome: injury to either side of spinal cord produces ipsilateral muscle paralysis (from corticospinal tract injury) and contralateral hypersthesia to pain and temperature (from spinothalamic injury); syndrome results from hemitransection of spinal cord w/ unilateral damage to the spinothalamic & corticospinal tracts and resultant loss of ipsilateral motor & dorsal column … Read more

Bucholz Classification

Discussion based on the assessment of stability; lesions are graded as Type I, Type II, or Type III depending on degree of instability; Bucholz noted that on postmortem dissection of pts w/ pelvic fractures that all injuries to pelvic ring had some injury to both anterior and posterior portions of the pelvis; Type I injuries for which the … Read more