– Adult: – NSAIA w/ analgesic and antipyretic action: – moderate to Severe OA, RA, AS: – 25mg PO bid/tid, incr dose at weekly intervals to max of 150-200 mg/day; – if SR capsule is used, initial dose is 75mg qd; – extended release caps: … Read more
– Discussion: – physical properties – state in body fluids – calcium is a necessary & important addition to cell membranes, giving strength to these structures and regulating permeability; – physiologic roles of calcium are well established; – abnormally … Read more
– Planning Pin Sites: – placement of skull pins in children requires preoperative CT scan of skull to assess thickness; – pins should avoid skull suture lines, and should generally not be placed in the temporal region or into the frontal sinus; – as in adults, avoid placing pins … Read more
– See: – Cervical Spine Menu: – Halo Placement in Children: – Discussion: – most effect orthosis for controling motion at C1-C2 articulation; – contra-indications: – unstable skull frx; – traumatized skin overlying pin sites; … Read more
– Technique: – centered in groove at upper margin of eyebrows, between supraciliary ridge and the frontal prominences; – saggitally, fromt pins should be placed just superiorly to outer half of eyebrows, to avoid the supraorbital nerve and vessels; – placed too inferiorly, the pins might … Read more
– Discussion: – results from a defect is somatic mutation in the gene coding for alpha subunit of Gs, the G protein that stimulates cAMP formation; – overproduction of cAMP, causes overexpression of c-fos, which regulates proliferation and differentiation of osteoblasts and osteoclasts; – results in … Read more
– See: – Bone Tumor Menu: – Eosinophilic Granuloma of Spine: – Discussion: – includes a group of disorders characterized by a variety of tumor like lesions, which arise from from clonal proliferation of Langerhans- type histiocytes; – most common in children less than 12 … Read more
– For Diabetes Insipidus (intranasal & parental); bleeding due to hemophilia A and Type I von Willebrand’s dz (parental); bleeding from esophageal varices; head trauma; – it can transiently correct the bleeding time in most patients with chronic renal failure and other acquired disorders of platelet function; – DI: Intranasally: Adult: 0.1-0.4 mL (10-40 ug) … Read more
– See: – Anatomy of C2 – Development of Dens – Odontoid view: – Pediatric Dens Frx: – Discussion: – odontoid fractures are the most common upper Cervical Spine fractures; – remeber rule of thirds – cervical cord occupies … Read more
– Dosing: – contraindicated w/ clinical allergy, must periodically examine urine sediment with chronic use; – for symptomatic Paget’s Disease of bone, hypercalcemia, post-menopausal osteoporosis (in addition to supplemental calcium, adequate vitamin D intake, and adequate diet); – osteoporosis: – may be … Read more