– See Human Bite – Bacteria Sensitive to Augmentin / Unasyn – staph aureus – along w/ streptococcus is the most common inciting organism in hand infections; – streptococcal Gr A beta hemolytic – shows cellulitis, lymphangitis, lymphadenopathy, fever, and a … Read more
– for aerobic Gm Neg bact and Enteric & P. aeruginosa – Adult: 1-2gm IV/IM q6-12hr; – Not effective for Gm pos nor anaerobic bacteria; – Poor activity with: Staph, enterococci, NonEnteroStrep; – may be given to Penicillin sensative individuals; – Good diffusion from blood into CSF only with inflammation; Ratio of CSF … Read more
– Discuussion: – axillary nerve (C5, C6) originates from and passes backward from posterior cord of brachial plexus – at level of axilla; – it arises immediately posterior to the coracoid process and conjoined tendon; – it crosses the inferolateral surface of the subscapularis, 3-5 mm medial to the musculotendinous border; – sweeping a finger … Read more
– Discussion: – prevents conversion of purine bases by suppressing synthesis of guanine and adenosine; – RA Doses: 1-2.5 mg/kg/day; – onset of action is usually 12 to 24 weeks; – discontinuation of the drug is marked by a return in disease activity; – Toxicity: – most common toxicity is gastrointestinal including nausea, anorexia, and, … Read more
Discussion: – pathogenesis – vascular interruption: – blood supply to femoral head – specific inciting causes – natural history – diff dx: – synovitis; – Idiopathic Transient Osteoporosis of the Hip – femoral neck stress frx – metastatic disease – trochanteric bursitis: – ref: Avascular necrosis of the femoral head presenting as trochanteric bursitis. – … Read more
– See: A. Fib – Discussion: – atrial flutter may be assoc w/ sick sinus syndrome, hypoxia, Pericarditis, valvular heart dz, and less commonly, acute myocardial infarction; – orginates in a single atrial ectopic focus; – flutter waves occur in rapid succession & are identical; – flutter waves have “saw tooth” appearance & do not … Read more
– Antebrachial Compartment Syndrome: (see compartment syndrome menu) – causes: – may follow supracondylar fr(x) of humerus, or both bone forearm fractures; – compartment syndromes in the forearm after wrist fractures usually involve the volar compartment; – compartment syndrome monitoring – technique of forearm fasciotomy: (see … Read more
– Discussion: – pathophysiology: – compartment syndrome is elevation of interstitial pressure in closed fascial compartment that results in microvascular compromise; – as duration & magnitude of interstitial pressure increase, myoneural function is impaired & necrosis of soft tissues eventually develops; – intracompartmental pressure: … Read more
– See: – deep venous thrombosis – hypercoagulable states XII + Surface: intrinsic path: heparin/ PT | XIIa … Read more
Analgesic Anti-Anxiety Anti-Convulsant Anti-Depressant Tricyclics Antiemetics Anti-Histamines Anti-Parkinson Sedatives/Hypnotics Antitussives Anti-Pyschotics Opiods – Discussion: – tricyclic antidepressants may inhibit the metabolism of neuroleptic agents, just as neuroleptics may inhibit metabolism … Read more