– Specific Agents: – Neomycin – Gentamicin – Tobramycin – Amikacin – Netilmicin – Discussion: – indicated for serious Gm Neg infections caused by suseptable pseudomonas, proteus, e. coli, klebsiella, enterobacter sp., serratia, and gm neg sepsis; – tobramycin is more … Read more
(See Penicillin Family) For UTI caused by some strains of gram negative bacteria; Dose: 600 mg IV/IM q4-6hr; Not effective against P. aeruginosa, Penicillinase producing Staph aureus, H.influenza, Neisseria, or anaerobes; Note: Diffusion from Blood to CSF Good only with Inflammation
– Discussion: – general discussion of allograft tissue: – as pointed out by Harner et al. (1996), subjective knee scores were slightly better for knees having ACL – bone patellar bone allograft (as compared to BPB autograft patients) – objective ratings included normal (or nearly normal) … Read more
– see bone graft menu – Discussion of Allografts: – see autograft menu and bone healing: – allografts are most indicated when bone grafting is required along with need for mechanical structural support; – morselized bone graft: – structural bone grafts: – fresh allografts – generally … Read more
– Discussion: – B agonist; – for brochospasm in reversible airway dz and for relief in exercised induced bronchospasm; – adult: – 2-4 inhalations q4-6hr or 2-4 mg PO tid/qid; nebulized 2.5-5mg in 3ml NS (supplied in 5 mg/ml solution); … Read more
– See – Pediatric Both Bone Frx – Deforming Forces – Discussion of Blount Fractures – Implants for Fractures of the Radius and Ulna – Plating Techniques – Indications for Operative Treatment: – all displaced, unstable fractures of the radius and ulna in adults; – radial shaft fractures: all displaced fractures of the radius with … Read more
– Fractures Subtypes: – capitellar and coronal shear frx – distal humeral frx – lateral condyle frx – medial condyle frx – Muller’s Classfication: – type A: extra-articular fracture; – type B: uni-condylar fracture; – type C: bi-condylar fracture; – controversies: – total elbow replacement – Distal humeral fractures treated with noncustom total elbow … Read more
– Technique: – it is helpful to have the patient paralyzed during the reduction (requires general anesthesia); – anatomic reduction of the condyles is performed first; – remember that the common factor in fixation failure in these fractures is comminution and/or osteoporosis; – best-fit method: … Read more
– Discussion: – adolescent bunion is present if IM angle > 10 deg & HV angle > 20 deg; – moderate deformity: HV of 25 – 40 deg, – severe deformity: HV of more than 40 deg; – in … Read more
Technique decreases interscalene space by tensing anterior and middle scalenes; arm of the affected side placed on the sitting patients thigh with forearm supinated; turn head to the affected side; extend neck and hold breath; positive test is obliteration of the radial pulse; Hyperabduction maneuver tests for compression against axillary pulley which consists of pectoralis … Read more