Ortho Oracle - orthopaedic operative atlas

Differential Diagnosis of Carpal Tunnel Syndrome

– see carpal tunnel syndrome – Overuse Syndromes:        – include muscle pain, tendinitis, fibrositis, epicondylitis, & psychological conditions that may contribute to disability; – Vascular Pathology – Anatomic Diff Dx:     – Cervical Root Impingement           – combination of nerve entrapment & radiculopathy (C6-C7) is not uncommon … Read more

Dictation for LRTI

 DESCRIPTION OF PROCEDURE: After induction of satisfactory axillary  block anesthesia, patient’s left upper extremity was prepped and  draped in the usual sterile fashion.  After exsanguination of the draped in the usual sterile fashion.  After exsanguination of the  left upper extremity with Esmarch, pneumatic tourniquet was placed at 300 mmHg.  Longitudinal incision was made over the volar radial aspect of the … Read more

Diazepam / Valium

– Discussion:      for anxiety, muscle spasm, status epilepticus, sedation preop;      Adult: Stat elepticus: 0.2-.5mg/kg/dose IV q15-30 min. w/ maximum dose of 30mg; 0.2-0.5 mg/kg/dose PO / 0.05-0.2 mg/kg/dose IV;      Peds: status epilepticus: < 5yrs: 0.2-0.5 mg/kg/dose IV q15-30 min up to max of 5 mg; >5 yrs may administer to max of … Read more

Diastrophic Dwarfism

Discussion rare type of skeletal dypslasia characterized by extreme short limb dwarfism, with specific hand, foot, and ear abnormalities; micromelic short-limb dwarfism, cauliflower ears, scoliosis, hitchhiker thumbs, and clubfeet. these individuals have extremely short stature, with a mean adult height of 118 cm; condition was originally referred to as diastrophic dwarfism,” which means “crooked or … Read more

Diabetic Skeletal Muscle Necrosis

– Discussion: (tumoriform focal muscular degeneration);      – poorly defined process which occurs in long term diabetics;      – other names for this syndrome include: tumoriform focal muscular degeneration and idiopathic diabetic muscle infarction;      – may be confused w/ sarcoma, deep infection, or even a compartment syndrome (the mass may be … Read more

Examination of the Diabetic Foot

– neurological exam for the neuropathic charcot foot:       – in exam of the diabetic foot note the neurologic findings are usually distal, symmetrical, and sensory;        – absent or diminished tendon reflexes are characteristic findings;        – ankle jerk is mainly affected and is absent 4 times > knee jerk;        – diminution or … Read more

Development of Atlas

– See: atlas: – Body:     – not ossified at birth     – center (occassionally 2 centers) appears during 1st year after birth;            – anterior ring of atlas remains unossified in infants (younger than 1 year) but progressively ossifies and enlarges through age 6-9 years;     – … Read more