Ortho Oracle - orthopaedic operative atlas

Rx of Seizure

    – Anticonvulsant Meds     – Flight Surgeon Manual – Approach to New Onset Seizures – Flight Surgeon Manual – Approach to Status Epilepticus – Flight Surgeon Manual – Seizures – GMO Manual  – Hospital Corpsman 1&C  – Hospital Corpsman 3&2  – Standard First Aid Course  – Columbia Complete Home Medical Guide  – Iowa Family … Read more

Sacral Stress Fractures

– Discussion:     – insufficiency frxs of sacrum and pelvis may be confused w/ metastatic lesions, especially if bony resorption occurs at frx ends;     – these injuries may also occur in patients with known malignant disease who have a sudden onset of pain in the lower back, hip, or groin;     … Read more

Sacral Sparing

– See: neurological exam: – Discussion:     – sacral segments must be carefully examined for sensation & motor power;     – scaral sparing is evidenced by perianal sensation, rectal motor function, and great toe flexor activity;     – in patient w/ an apparent complete neurologic injury, any sensory awareness distally or scant … Read more

Rupture of the Quadriceps

– See: Extensor Mechanism Injuries of the Knee:   – Discussion:     – rupture of quadriceps tendons is most common in the 6th & 7th decades, and is probably associated w/decreased  vasculature;     – Male:female  8:1     – more common w/ cortisone injections, diabetes, chronic renal failure; hyperthyroidism, and gout;     – … Read more

Rupture of the Tibialis Posterior

– Discussion: – main function of the tibialis posterior is to invert the subtalar joint, which helps to stabilize the transverse tarsal joint during rheumatoid hindfoot; – pathophysiology: – degenerative tears usually occur distal to the medial malleolus, in a region which coincides with relative hypovascularity and sharp turn of the tendon from a verticle to … Read more

Rush Medical: Betadine Protocol:

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Rupture of Flexor Tendon Repair

  – Discussion:      – tendon ruptures can occur as an early or late complication (6 to 7 weeks)             – most occur around post op day 10;      – after primary repair, most likely site for failur is at repair site;      – if rupture is … Read more

Rx of Anaphylaxis

– See: Clevland Clinic – Managment of Latex Allergy and GMO Manual – Management:     – immediate NS 500-1000 ml IV; IV NS “wide open” til normotensive;     – epinephrine 0.3mg (3ml of a 1:10,000 solution) IV immediately, or 0.3mg (0.3ml of a 1:1000 solution) SC immediately            with repeated … Read more

Rx of Atrial fibrillation

– See:  – A. Flutter  – Causes of A. fib  – r/o WPW as a predisposing cause;  – If Unstable (or onset < 3 days): Cardio Convert (100 J)  – If Stable: (w/ rates greater than 100/min) Consider  – Digoxin: to slow the AV conduction rate  – Propanolol:  – Diltiazem  – Verapamil:   – combination of … Read more

Running Injuries

– Types of Injuries:     – short leg syndrome: (see growth deformities of the limbs)              – unequal leg lengths may predispose to injury in shorter leg;     – trochanteric bursitis:              – gluteus medius attaches by a broad insertion into its lateral … Read more