Throwing Shoulder
– See: throwing injuries: and elbow throwing injuries – Phases of Throwing: – wind up – early cocking: deltoid and rotator cuff are active; – late cocking phase: – muscle activity: – shoulder is placed in … Read more
Data Trace Editor
Thromboxane
– Discussion: – principal metabolite of arachidonic acid in platelets; – stimulates platelet activation, and assists in intravascular aggregation of platelets; – ASA irreversibly inhibits cyclooxygenase by acetylation of serine residue at its active site; – cyclooxygenase must be continuously produced in endothelial cells, since they recover their ability to synthesize Prostacyclin within a few hours; … Read more
Throwing Injuries
– See: – Throwing Elbow: – MCL of elbow: – Diff Dx Pediatric Throwing Elbow – Throwing Shoulder: Throwing Guidelines: – 8-10 year olds: 37 to 67 pitches in approximately 1.5 to 2.5 games per week. – 11-12 year olds: 50 to 86 pitches in approximately 1.5 to 2.5 games … Read more
DVT Treatment – Thrombolytics
Tenecteplase (TNKase) modified version of alteplase with longer half-life, so it can be given as a single bolus over 5-second infusion availability – 10 mL syringe indication (non-comprehensive) reduce mortality associated with acute myocardial infarction Urokinase (Abbokinase) used clinically as a thrombolytic agent, often referred to as a “blood clot buster” drug availability – in … Read more
Thrombolytic Therapy
– See: – Coag Path – Deep Venous Thrombosis – Endothelium – PT/PTT – Pharmocological Agents in Vascular Surgery – Pulmonary Embolism – Vascular Problems of the Wrist and Hand Acute lower limb ischemia: failure of … Read more
Thromboembolism in Hip Frx
– See: – DVT Discussion – Pulmonary Embolism – References – Role of Dextran in Hip Frx – Role of Heparin in Hip Frx – Discussion: – Choice of Anesthesia: – in elective hip … Read more
Thrombocytosis
Platelets: 150,000-450,000 uL; – Increased: – Sudden Exercise, after Trauma – Bone Fr(x), after Asphyxia – Post Surgery (esp Splenectomy) – Acute Hemorrhage – Polycythmia vera – Primary Thrombocythemia – Leukemias – Post Partum – Carcinoma Digital Ischemia Due to Essential Thrombocythemia: A Case Report
Thrombocytopenia/Platlet Dysfunction
– See: – Bld Prod Menu / – Platlet Transfusion – Discussion: – manifestations: – vessel or platlet abnormalities: – these present with petechiae, purpura, or easy bruising; – bleeding characteristically occurs superficially (bleeding from mucus membranes or from IV sites); – bleeding from scury shows perifolicular hemorrhages, gingival bleeding, and intramuscular hematomas; … Read more
Thrombin Time: 10-14 sec
– Increased: – Systemic Heparin, DIC, Fibrinogen Deficiency, Congenitally Abnormal Fibrinogen Molecules
Three Part Proximal Humerus Fractures
– See: Three Part Fracture Dislocation and Four Part Fracture – Discussion: – tuberosity frag + displaced surgical neck fragment; – unstable shafts may be driven into mass of deltoid muscle & may be anterior to the proximal fragment; – poor bone contact will lead to delayed or nonunion in most cases; – subtypes: – greater … Read more