– See: – Open Tibia Fractures – Infections of the Tibia – ” There have been major improvements in the surgical treatment of open tibial fractures during the past two decades. These improvements include aggressive treatment of soft tissue injury by means of immediate debridement and early coverage as well as … Read more
Dr. Mangal Parihar – Discussion: It is during the distraction phase that most of the complications of the treatment will occur, and consequently the surgeon has to be constantly on the lookout for the known complications. Follow-up Frequency: During the distraction phase, the patient should be seen at least every two weeks. At these visits … Read more
– See: Musculoskeletal Considerations in Pregancy – Discussion: – uncommon disease which is a diagnosis of exclusion; – most often seen in women during the third trimester of pregnancy and in middle-aged men; – typically there is no antecendent trauma; – up to 40% of patients may … Read more
– See: respiratory alkalosis: – Discussion: – induction of hypocapnia is probably the most frequently used technique to reduce intracranial pressure; – lowering partial pressure of CO2 to 26-28 mm Hg (3.5-3.7 kPa) reduces cerebral blood flow & thus lowers intracranial pressure; – even w/o ability to measure intracranial pressure, inducing … Read more
– Male 4.5-8.2 mg/dL; Female 3.0-6.5 mg/dL; Child 2-5.5 mg/dL; Increased: Gout Renal Failure, Increased DNA degredation (Leukemia, Anemia, Chemotherapy, Toxemia of Pregnancy), Meds (Diuretics), Lactic Acidosis PolyCystic Kidneys Sarcoidosis (50% will have hyperuricemia); Multiple Myeloma Decreased: Uricosuric Meds (Salicylates, Probenecid, Allopurinol), Wilson’s dz, Fanconi’s syndrome
– Diff Dx: – Renal Failure – Secondary Hyperparathyroidism – Hypoparathyroidism (surgical, psuedo) – Immobilization – Addison’s dz – Bone dz (Healing frx) – Factitious increase (hemolysis of specimen) – Vit D toxicity – Tumoral Calcinosis – … Read more
– See: – Central Cord Syndrome: – Extension Teardrop Fracture of C2 – Hangman’s frx – Jefferson Fracture – Lower Cervical Burst Fractures – Hyperextension fracture dislocation – Prevertebral Soft Tissues – Discussion: – hyperextension injuries may include: … Read more
– See: Humeral Frx – Main Menu – Condylar Fractures – Non Union of Humeral Fractures – Pediatric Humeral Shaft Fracture – Synthes Humeral Shaft Products – Discussion: – mechanism: – bending force produces transverse frx of the shaft; – torsion force will result in a spiral fracture; – combination of bending and torsion produce … Read more
– See: Pediatric Femoral Frx Menu – Discussion: – timing: – Immediate single-leg spica cast for pediatric femoral diaphysis fractures. – contraindications: – unacceptable shortening or angulation; – open fractures; – thoracic or intra-abdominal trauma; … Read more
– Timing: – references: – Decompression and stable internal fixation of femoral neck fractures in children can affect the outcome. – Femoral Neck Fractures in Pediatric Patients: 30 Years Experience at a Level 1 Trauma Center. – Fractures of the hip in children and adolescents. – Earlier Time to … Read more