Data Trace Editor – 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
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
– Antifungal and for Candidiasis – Cream sol 1%: – Apply topically bid/qid, for 10-14 days; – Oral prophylaxis commonly used in immunosuppressed patients
– antipyschotic med, for chronic pyschotic patients who are resistant to usual medications; Both active and passive symptoms may improve with this medication; – Side effects include Agranulocytosis in 1-2% of patients; – WBC < 3000 or ANC < 1500 calls for interuption of treatment; – Also note dose related increase risk of seizures; – … Read more
– Discussion: – posteromedial release may not fully correct a resistant deformity; – w/ severe deformity, consider osteotomy of the distal part of calcaneus combined with a plantar fasciotomy in addition to the posteromedial release; – medial opening-wedge osteotomy of calcaneus and the insertion of … Read more
– 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
– 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
– 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
– 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
– 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