Data Trace Editor, Author at Wheeless' Textbook of Orthopaedics : Page 364 of 424

Clotrimazole/Gyne-Lotrimin/Lotrimin/Mycelex

– Antifungal and for Candidiasis – Cream sol 1%: – Apply topically bid/qid, for 10-14 days; – Oral prophylaxis commonly used in immunosuppressed patients

Clostridium difficile

Discussion pseudomembranous colitis & diarrhea are complications of antimicrobial therapy that have been recognized for many years; over past decade many cases of these disorders have been found to be attributable to toxin-producing strains of C. difficile; although clindamycin continues to be linked to diarrhea & pseudo-membranous colitis, beta-lactam antibiotics have overtaken it as the … Read more

Clostridium

– See Clostridium Dificile – Tetanus Prone Wounds – (see tetanus prophylaxis) – greater than 8-24 hrs from injury to treatment – barnyard contamination (bite wounds are considered moderate risk); – devitalized tissue; – Clostridium perfringes: – is a non-motile gram positive, anaerobic bacillus without … Read more

Closing Wedge HTO: Intermedics Plate Fixation

– Positioning: – sterile tourniquet; – supine position, hip bump; – foot bump to hold the knee in hyperflexion; – Incision: – inverted L shaped incision; – transverse limb: – is made … Read more

Closed Reduction of Posterior Hip Dislocation

– Discussion: – performed as soon a possible ( < 8-12 hrs) – either in OR under GEA (optimal) or in ER w/ sedation if delays are expected; – reduction may be performed w/ flouro, but orthopaedist may find that flouro interferes w/ hip flexion, which frequently is essential to … Read more

Closed Reduction of Intertrochanteric Fractures

– Radiographic Findings: – if possible intertrochanteric fractures should be closed reduced on the fracture table, prior to sterile draping; – allows adjustment of patient position (should it be necessary) and ensures that all equipement is working properly (on occassion frx table will malfunction); – radiographs are taken with special attention to cortical … Read more

Closed Reduction in Child Older than Six Months

– See: – Impediments to Reduction in DDH – Traction – Discussion: – Pavlik harness is seldom effective after 6 months of age; – in children between 6 months and 1 year of age, treatment consists of closed reduction w/ GEA following a period of skin traction & adductor tenotomy … Read more

Closed Reduction for DDH

– Discussion: – Pavlik harness is seldom effective after 6 months of age; – in children between 6 months and 1 year of age, treatment consists of closed reduction w/ GEA following a period of skin traction & (w/ or w/o) adductor tenotomy (to reduce AVN); … Read more

Closed Reduction of Both Bone Forearm Fractures

– Discussion: – unlike adults, both bones fractures in children can be treated closed w/ cast, however, it should be noted that the periosteal sleeve may be disrupted in these fractures making them relatively unstable; – technique of reduction: – following reduction an assessment … Read more