– See: Alkaline Phosphatase – Discussion: – disease of unknown etiology affecting skeleton & adjacent tissues; – characterized by fever, rirritability, swelling of soft tissues, & cortical bone thickening; – thickening of jaw & forearm are the most common sites, but occassionally lesion is diffuse; … Read more
– See Bone Topics: Calcaneus Capitate Clavicle Coracoid Process Femur Fibula Foot Hamate Humerus Lunate Navicular Olecranon Patella Pisiform Radius Sacrum Scaphoid Scapula Sesamoid Bones (Foot) Sesamoid Bones (Hand); Talus Tibia Trapezium Triquetrium Ulna
– for allergic rhinitis; – 1 spray intranasally bid/tid; – nasal spray gives 42ug/dose; – for chronic Asthma; – adult 2 puffs tid/qid (maximum=20 per day); – not effective for acute cases;(2 puffs=84ug); – rinse mouth and gargle w/ water after inhalation; – no systemic effects w/ dose < 1mg/24hr
Discussion HTN from bladder or bowel distension or from renal calculi; sensitivity to succinyl choline (hyperkalemia) increase susceptibility to pulmonary edema; can follow upper and lower spinal cord injuries; related to bladder overdistension or fecal impaction and manifests as with pounding HA, (from severe hypertension), anxiety, profuse head and neck sweating, nasal obstruction, and blurred vision; … Read more
– See: – Occipital-Atlanto-Axial Anomalies: – Anatomy of C1 / C2 – Discussion: – more common children, since the pediatric occipital condyles are small and almost horizontal & lack inherent stability; – this injury is usually but not invariably fatal 2nd to respiratory arrest caused by injury … Read more
– Discussion: – for treatment of Asthma; – not for acute attack; used for allergic rhinitis; – prevents release of bronchoconstrictors; – Adults: 20mg (as powder in capsule) inhaled qid; for aerosol; – inhale 2 puffs qid; – nasal instillation: spray once in each nostril 2-6 times qd; – Peds: > 5yrs: 20 mg (as … Read more
– Facial Fractures and Upper Airway Injuries: – in pts with major frxs of the mandible and maxilla (Lefort III) in whom massive edema has yet to occur, oral intubation is preferred, and if required is usually easily accomplished; – blind nasal intubation following major facial injury is discouraged because of … Read more
– See: Distal Radius Frx Menu / Intra-Articular Fractures of the Distal Radius – General Discussion: – frx was described by Abraham Colles in 1814, originally described as low energy extra articular frx of distal radius occuring in elderly individuals; – frx is typically dorsally displaced and angulated; – mechanism: – fracture is also caused by … Read more
– See: – Clavicular Frx in Children / Congential Pseudoarthrosis of Clavicle – AC joint / Sternoclavicular Joint Injury / Scapula Fracture – Discussion and Classification – Exam Findings: – brachial plexus – ref: Injury to the brachial plexus by a fragment of bone after fracture of the clavicle – Radiology: – Serendipity View – best visualized sitting up … Read more
– See: Skin Prep – Discussion: (chloroprep) – kills cells by disrupting their cell membranes and precipitating cell contents; – it has extremely low toxicity even when used on the intact skin of new borns; – in comparison to alcohols, antibacterial activity of chlorohexidine gluconate is not as rapid, but the drug remains … Read more