– See: Shoulder Abductors – Discussion: – major function of the deltoid muscle is to abduct arm; – it performs this action after scapula[scapula has been fixed by its stabilizing muscles and the humeral head has been snubbed to glenoid by the rotator cuff; … Read more
– Discussion: – sacral, ischial, trochanteric, and heel ulcerations are most common; – preventative measures: – turning the patient ever 5 min q 2 hrs of relief may prevent pressure ulceration; – a shift of weight in the wheelchair … Read more
– See: – Coagulation Cascade – Pulmonary Embolus – DVT in Hip Frx and Surgery: – DVT Following THR: – DVT Following TKR: – DVT / PE arising from Trauma and Fractures – Discussion: – thromboembolism is amoung the most serious … Read more
– See: TKR Infection Menu – debridement w/o component removal: – see debridement and washout of infected THR – IV antibiotic therapy has limited success in treatment of infected TKR; managed with wound debridement, polyethyene exchange, application of temporary antibiotic beads, and IV antibiotics; – acute hematogenous infection: – early acute hematogenous infection … Read more
– Discussion: (see osteochondral injury) – these injuries are distinct from degenerative arthritic lesions and management of these lesions should remain distinct as well; – theory is that penetration of subchondral bone causes bleeding from underlying vessels which allows clot formation in the cartilaginous defect and subsequent formation of fibrocartilage; – some argue that subchondral drilling … 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
– Discussion: – third generation cephalosporin; – adult: 1-2gm IV q12-24hr; t1/2=7.5hr; w/ long half life, allows once a day dosing, and home treatment; – peds: 100 mg/kg/day q12 or q24hr; – no need to change w/ renal failure; – broad spectrum Gm neg and … 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: 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
– See: – Ossification of Soft Tissue and Periosteum – Metastatic Bone Tumors (prostate, thyroid, kidney, breast, lung) – Hyperparathyroidism – PTH secreting tumors (lung, kidney, ovary, colon), multiple myeloma – Vitamin D – amount of Vit D required to produce HyperCa … Read more