– Discussion: – for treatment of clinical spasticity resulting from upper motor neuron disorders such as spinal cord injuries, strokes, cerebral palsy, or multiple sclerosis; – treatment of Malignant Hyperthermia crisis; is a skeletal muscle relaxant; – skeletal muscle relaxant: beginning at 25 mg PO qd, titrate to effect … Read more
– Discussion: – first performed by Darrach in 1911 in New York City. – Indications: – for relief of pain following distal RU disruption and/or RU arthritis; – for symptomatic malunion of Colle’s frx in elderly patients, especially when stiffness is present; – procedure is generally performed … Read more
– Adjunct to rest and physical therapy for relief of muscle spasm associated w/ acute painful musculoskeletal conditions; CNS relief of muscle spasm; – Adult: 10mg PO tid; Do not use for longer than 2-3 weeks; sedative and anticholinergic properties; – Contraindicated with MAOI use, Tricyclics, during acute recovery from MI, – Contra w/ hyperthyroidism, CHF, dysrhythmias, … Read more
– Overlapping Toes: – involves an dorsal-adduction deformity of the 5th toe; – other components of the deformity include external rotation of the digit, contracture of the EDL tendon; – in some cases there may be dislocation of the MTP joint; – often the deformity is familial and bilateral; – clinical findings: – the deformity … Read more
– Third Generation Cephalosporin – 100-200mg/kg/24hr; 1-2gm IV q4-6hr; – good Gm Neg coverage; Broad spectrum Gm Neg and Pos; – Treatment of gonorrhea: 1gm IV single dose; – Uncomplicated infections: 1gm IV/IM q12hr; – Moderate to severe infections:1-2gm IV/IM q8hr; – Septicemia and life threatening infections: 2gm IV q4hr; – Prevention of postoperative infections: … Read more
– Second Generation Ceph – Adult: 1-2gm q4-8hr IM/IV;t1/2=.5 hr; – or try:1-2gm q6-8hr IV to max dose 12gm/day (2gm q4hr); – for surgical prophylaxis:2gm IV/IM 30min prior to surgery then 2gm q6hr for 24hr( 72hr for prosthetic arthroplasty); – Res to B. Lactamase; good for: B.fragilis, aerobic and anaerobic; N.gonorrhea, and surgery; – … Read more
– See: Third Generation Cephalosporin – Adults: 25 to 150 mg/kg/day IV; – Peds: 100-150 mg/kg/day q8hr; – good for Pseudomonas, Gm Neg Eneteric, NonEnterococci Strep; moderate to poor activity against strep; mod to good (85%) against Staph; – No activity against B.fragilis or enterococci; – Uncomplicated UTI: 250mg IV/IM q12hr; – Complicated UTI: 500mg-1gm IV/IM … Read more
– See: Pes Cavus: – Discussion: – seldom present at birth, the deformity gradually becomes apparent as childs foot grows and matures; – components: – heightened longitudinal arch – cavus – – plantar flexion of 1st ray and pronation of the forefoot – responsible for cavus appearance of foot; – on wt bearing it forces … Read more
Discussion pathoanatomy whole foot is in extreme supination, however, the fore part of the foot is pronated with respect to the hindfoot, as a result of the cavus deformity (the first metatarsal is more plantar flexed than the fifth metatarsal); navicular and the cuboid are rotated medially in relation to the talus, and are held in … Read more
(See also: Work Up for Scaphoid Frx) Discussion w/ proper casting nearly 100% of tubercle & distal third frxs will heal; in addition to healing considerations, the surgeon should note the position of healing (malunion); approximately 80-90% of scaphoid frx at the waist will heal, but only 60-70% of proximal pole frxs will heal; even … Read more