– See: – deep venous thrombosis / respiratory failure – Discussion: – time range of diagnosis of PE following discharge: 14-68 days (JR Lieberman et al); – ref: Early pulmonary embolism after injury: A different clinical entity? – in the report by Lawton RL and Morrey BF (1999), the authors advise that patients … Read more
– Discussion: – physical properties – state in body fluids – physiologic roles of calcium are well established; – abnormally low concentrations of Ca permit spontaneous discharges of both sensory & motor fibers in peripheral nerves, leading to tetany; – w/ elevated levels, … Read more
– Discussion: – diff dx: – physical exam: – neuromuscular: weakness, paresthesia, depressed tendon reflexes; – assess severity: – K > 8.0 mmol/L, EKG w/ more than peaked T waves alone, or if cause is not immediately … Read more
– Discussion: – accetable reduction: – more than 50% of cortical overlap; – > 10 deg of angulation in any plane is unacceptable – < 5 deg of varus or valgus; – < … Read more
– See: blunt cardiac trauma – Initial Management: – determine whether the chest pain is of cardiac origin: – sublingual nitroglycerin should improve chest pain (at least partial relief) if the pain is of cardiac origin; – EKG changes in MI: … Read more
– See: – Burns of the Hand – Chemical Burns – Electrical Burns – Frost Bite – Initial Management: – trauma management: – patients require a generalized trauma assessment w/ all clothing removed; – determine nature of the burn (flame, chemical, electrical); … Read more
– Discussion: – proximal tibiofibular joint will prevent valgus correction unless fibula is shortened or tibiofibular ligaments are removed; – transection if tibiofibular ligamets: (preferred technique) – performed thru same incision as for osteotomy; – proximal tibiofibular joint capsule is disrupted … Read more
– See: Tumors of Soft Tissue – Prognosis: – prognosis of malignant melanoma worsens w/ increasing tumor thickness and also appears to be related to tumor site, age, and sex; – lesions on the scalp, hands, and feet, particularly in older pts and males, all have a poorer prognosis; … Read more
– Discussion: – malleolar screws with cortex thread, shaft & trocar tip have limited use in the metaphyseal area, distal humerus, trochanteric area, & sometimes in the ankle, where the bone is rather dense; – malleolar scew has a smooth shaft and is partially threaded; – … Read more
– See: – Phalangeal Injury – Pediatric Mallet Finger – Mallet Frx – Anatomy: – extensor mechanism of digits; – terminal extensor tendon is comprised of the convergence of lateral bands, and more proximally by terminal fibers of the oblique retinacular ligament; – Acute Injury: – from forcible flexion of the extended DIP joint: – … Read more