– Radiographic Findings: – if possible intertrochanteric fractures should be closed reduced on the fracture table, prior to sterile draping; – allows adjustment of patient position (should it be necessary) and ensures that all equipement is working properly (on occassion frx table will malfunction); – radiographs are taken with special attention to cortical … Read more
– benzodiazepine for Convulsions (petit mal akinetic & myoclonic seizures) and anxiety; – peak levels in 1-2hrs, and t 1/2 in 18-40hrs, excreted in the urine; – Adult: initially try, 1.5mg/day divided in 3 doses; – Dosage may be increased .5-1mg/3days to max dose of 20mg/day; – 2 step metabolizism + active metabolites; – Contraindicated … Read more
– See: Infections of the Hand / Human Bite Wounds – Discussion: – MP joint and the adjacent tissues and spaces are most commonly involved because teeth of the opponent are struck with knuckle of the clenched fist; – when the hand is unclenched, the skin wound retracts proximally … Read more
– See: Extra-articular Manifestations – Discussion: – manifests itself in one of three typical forms: – acute hemarthrosis; – subacute hemarthropathy; – chronic hemarthropathy; – severity of hemophilia A depends upon level of factor VIII clotting activity; – severe deficiency: – factor VIII activity level of < 1%; – pt characteristically bleeds into joints or … Read more
– Clavicle Frx in Infants: – 95% of birth frxs involve the clavicle and are associated w/ breech deliveries; – diff dx: – congential pseudoarthrosis of clavicle: – brachial plexus injury – pseudo-paralysis … Read more
– See: – Hallux Claw Toe – Hammer Toes – Muscles of Foot – Polio: Claw Toes – Anatomy and Discussion: – claw toe consists of hyperextension at the metatarsophalangeal joint, and flexion at the proximal (and distal interphalangeal joints); – all of the toes are usually affected, although contracture of the great toe can … Read more
– Discussion: – Grayson’s & Cleland’s ligament hold skin in position during flexion and extension of the finger; – Cleeland’s ligaments are firm fascia bands that run from side of phalanges to the skin, dorsal to the neurovascular bundle; – they are not involved in Dupuytren’s dz; – … Read more
– Discussion: – classified according to both the mechanism of injury and morphology. – two major mechanisms of injury: – direct and indirect trauma; – Direction Trauma: – patella may be fractured by direct blow during fall onto knee or when it hits dashboard in an … Read more
– See: Anticonvulsants: – Partial Seizures: – seizures beginning locally w/ specific sensory, motor or psychic aberration that reflects the affected part; – partial seizures w/ elementary symptomatology (generally w/o impairment of consciousness); – w/ motor symptoms (includes Jacksonian seizures) – special sensory or somatosensory symtoms; – w/ autonomic symptoms … Read more
– See: – Clavicular Frx in Children / Congential Pseudoarthrosis of Clavicle – AC joint / Sternoclavicular Joint Injury / Scapula Fracture – Discussion and Classification – Exam Findings: – brachial plexus – ref: Injury to the brachial plexus by a fragment of bone after fracture of the clavicle – Radiology: – Serendipity View – best visualized sitting up … Read more