Data Trace Editor – See: Posterior Frx Dislocations of the Hip – Discussion: – simple posterior dislocation without a fracture occurs from a posteriorly directed force against a flexed and adducted femur; – Associated Injuries – Pre-Reduction Radiographs: (radiographic evaluation of hip dislocation) – AP of the Hip; … Read more
– Discussion: – cause of discomfort in anterior aspect of the knee; – caused by persistent traction at the cartilaginous junction of patella & patellar ligament, usually at inferior patellar pole; – usually seen in an active preteen boy who complains of activity-related pain; – differential diagnosis: … Read more
(see also: Osteomyelitis in Sickle Cell Patient) Discussion affects 1% of blacks – is more severe but less common than sickle cell trait (8% prevalence); two main genotypes include Hb S and Hb C forms of disease; crises usually begin at age 2-3 years and may lead to bone infarctions; Sequelae of Sickle Cell growth … Read more
– Silver nitrate is applied as a 0.5% solution in saturated multilayered dressings; – although the solution is painless, the dressings may be uncomfortable and will decrease patient mobility; – it is usually applied as multilayered soaks; – silver nitrate solution has a broad antibacterial spectrum; – it precipitates on contact with tissues … Read more
– Discussion: – Silver procedure involves simple exostectomy; – it is typically performed along w/ other hallux valgus reconstructive procedures such as chevron, Mcbride, or proximal osteotomy; – in the case of a proximal osteotomy, the bone graft resected from the medial eminence may … Read more
Assistance provided by Nanni Allington MD. – Discussion: – a membrane lined cavity containing a clear yellow fluid. – occurrs most often in children 4-10 years of age; – lesions remain asymptomatic unless complicated by fracture. – they enlarge during skeletal growth and become inactive, or latent, … Read more
– Discussion: (see silvadene.com) – silvadene burn cream is a 1% suspension of silver sulfadiazine in a water soluble base; – for prevention and treatment of wound sepsis in patients with second and third degree burns; – topical bactercidal agent effective against many gran negative and positive bacteria as well as yeast, … Read more
– Hyponatremia with serum hypo-osmolarity – Urine that is less than maximally dilute when compared with serum osmolality (ie, a simultaneous urine osmolality that is greater than the serum osmolality – Inappropriately large amounts of urine Na (Ua > 20 mmo/L); – Normal Renal function; – Normal Thyroid function – Normal Adrenal function; – Patient … Read more
Positioning: – beach chair position is comfortable for both the patient and the surgeon and allows the option of converting to an open procedure (if necessary); – patients need to be seated with the torso raised to 70 deg with a foled sheet placed on the medial border of the affected scapula … Read more
– See: – Diff Dx of Shoulder Pain: – Shoulder Examination Tests (from shoulderdoc.co.uk) – History: (questions for modified Simple Shoulder Test); – C-Spine: – r/o radiculopathy as well as axillary nerve hypaesthesia; – Spurling’s manuever: – mechanical stress, such as excessive vertebral motion, may exacerbate … Read more