Medical Malpractice Insurance for orthopaedic surgeons

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Antinuclear Antibody (ANA)

– Discussion:     – serves as screening test for collagen vascular dz and lupus;     – fluorescent antinu-clear antibody test: (FANA)           – indirect immunofluorescence assay is the initial screening test used to detect ANAs;     – testing for specific auto-antibodies:           – if … Read more

Antiphospolipid Antibodies: (Anticardiolipin and Lupus Erythematosus)

– See: Lupus Anticoagulant  – Discussion – Lupus erythematosus anticoagulant, anticardiolipin antibodies, and antibodies with false-positive VDRL test results are a group of antiphospholipid antibodies frequently found in patients with SLE and other related autoimmune diseases;  – patients with SLE average have frequency of 34% for lupus erythematosus anticoagulant and 44% for anticardiolipin antibodies;  – … Read more

Antipsychotics

– Phenothiazines     – Chlorpromazine     – Thioridazine     – Mesoridazine     – Fluphenazine – Thiothixenes     – Thiothixene – Butyrophenones     – Haloperidol – Discussion:     – in low doses they are useful for the management of the agitation and confusion of delirium and dementia;     – … Read more

AVN and Salvage of Talus Fractures

– See: – Radiographic Evaluation – Blood Supply to Talus- Discussion: – may occur following talar neck fractures or may be atraumatic (from SLE, diabetes, MS ect); – absence of subchondral bone atrophy in talar dome on x-ray after 6 weeks following fracture implies AVN (see Hawkins Sign); – however,  there is not direct correlation between development of AVN and … Read more

Antihemophilic Factor VIII

– for treatment of classical hemophilia A to replace missing clotting factor to correct or prevent bleeding episodes of perform emergency or elective surgery;  – Dosage: 1 AFH unit/kg increases Factor VIII concentration in body by approx 2%;  – Prophylaxis of spontaneous hemorrhage = 5% normal;  – Hemostasis following trauma or surgery = 30% normal;  … Read more