– Discussion: – inferior epigastric pedicle is long (8 to 10 cm) and reliable; – muscle width of 8 to 10 cm is limited, and the skin paddle is long & bulky when compared to the Latissimus Dorsi; – rectus abdominis muscle can be harvested thru either a transverse or … Read more
– initially susceptible strains of Enterobacter cloacae and other organisms in which beta-lactamase production can be induced have become resistant during therapy with broad-spectrum cephalosporins at rates in the range of 10 to 20% Enterobacter bacteremia: clinical features and emergence of antibiotic resistance during therapy Enterobateriaceae surpasses MRSA as leading cause of surgical site infections in UK
– Discussion: – type of gram positive bacteria; – term enterococcus derives from French (enterocoque) describing its enertic origin; – enterococci include: Strep faecalis, faicium, and durans; – strep faecalis inhabits the human intestinal tract and is a nonhemolytic strain of generally low pathogenicity; – … Read more
– See: Anterior Interosseous Nerve Sydrome: – Site of Proximal Forearm Compression; – supracondylar process of the humerus and struther’s ligament: – median nerve may be compressed as it passes under the bondy spur – pt c/o of weak hand grip and in pronating, … Read more
– Femoral Exposure: – femur is exposed by placing a medium Homan retractor under femoral neck & 2nd under quad. femoris & levering down on fascia lata; – leg is held in adduction, flexion and internal rotation such that tibia is vertical; – remove any remaining … Read more
– EMG – General Discussion: – conduction velocity in the ulnar nerve across the elbow is slowed compared with the velocity in the forearm segment; – as noted by Kaempffe and Farbach (1998), abnormal EMG results are associated w/ poor surgical outcome; – position of elbow during EMG/NCS: … Read more
– Discussion: – as general rule, an EMG of patient who has myopathic disease shows a decreased amplitude & duration of response, compared w/ that of unaffected pt, while an EMG of pt who has neuropathic disorder shows an increased amplitude and duration of response; … Read more
– See: Burn Management: – Discussion: – these burns are always much worse than they appear, and the big mistake is to underestimate their severity; – deeper tissues receive more damage and burn injury than superficial tissues; – consider using arteriography to help … Read more
– See: – Electromyography – Nerve Entrapment – Discussion: – it is difficult to determine which patients require preoperative EMG/NCS prior to carpal tunnel release; – consider applying this study in any patient involved in litigation, who falls under worker’s compensation, … Read more