Data Trace Editor – Down sloping -concave – ST segment; Find a Lead w/ no S wave to identify the pattern; Digitalis Toxicity: –r/o Hypokalemia; – Arrhythmia: – PVC, Bigeminy, Trigeminy, – Ventricular Tach w/ AV dissociation – Ventricular Fibrillation – Atrial Fibrillation, – PAT w/block – Nodal Rhytms – Sinus Bradycardia – Conduction abnormalities: – SA block, … Read more
Short QT interval, Prolonged PR interval /\ ___/\_/ \_/\__
– Management of the Spine Injured Patient: – Physical Exam of the Cervical Spine: – Radiology of the Cervical Spine: (Clearance of the CSpine in Trauma Patients) – Spine Menu: – Anesthesia in the Spinal Cord Injured Patient: – AP … Read more
(see also: Spine in AS) Disussion patients with ankylosing spondylitis are prone to C-spine fracture following minor trauma; acute neck pain in a patient with ankylosing spondylitis is usually caused by a fracture through the ankylosed spine; site of involvement is most commonly near cervicothoracic junction (or C6-7); the fracture may extend thru the disc … Read more
Discussion involvement can lead to kyphosis, facet ankylosis, & atlantoaxial subluxation; the majority of patients w/ polyarticular JRA may show C-spine involvement; Radiographs anterior erosion of the odontoid process; anterior posterior erosion of odontoid process; subluxation of C1 on C2; focal soft tissue calcification anterior to the ring of C1 ankylosis of apophyseal joints (often … Read more
– See: – Radiographic Changes of Cervical Spine in JRA: – Rheumatoid Arthritis: – Transverse Ligament Rupture: – Discussion: – cerival spine involvement is common in RA (up to 90%) & is more common w/ long standing disease and multiple joint involvement; … Read more
Cervical Radiculopathy: Diagnosis and Treatment Richard J. Nasca, MD Nasca RJ. Cervical radiculopathy: current diagnostic and treatment options. J Surg Orthop Adv. 2009;18(1):13-18. Introduction: Pain around the shoulder, arm and hand may be caused by irritation or compression of one or more cervical nerve roots. In the majority of patients, the symptoms are of short … Read more
– treatment of infections: 500mg-1gm IV/IM q4-6hr; – may use doses up to 12 gm per day for serious life threatening infections; – pre operative prophylaxis to prevent postoperative infections with potentially contaminated surgery: – 1-2gm IM/IV 30min-1hr before start surgery, 1-2gm during surgery, 1-2gm IM/IV q6hr for 24hr postoperatively; – decrease dosage with renal … Read more
– Discussion: – pattern of hip deformity in cerebral palsy depends on type and extent of neurologic impairment; – non progressive neuromuscular disorder w/ onset before 2 yr resulting from injury to the immature brain; – etiology includes: perinatal infections (TORCH), prematurity (most common), anoxic injuries, … Read more
– First Generation Ceph – 1-2gm q4hr IV or 125mg/kg/4-6hr,t1/2=40min;Inject; – Decrease dose with renal failure; – 60-70 % of dose will be excreted in urine (w/ nl R F(x)) – Contra with cephalo allergy, caution with penicillin allergy; – Good diffusion from blood into CSF only with inflammation; – Note: Ratio of … Read more