– See: – Diabetes Menu – AliMed – diabetic resources – Pathological Conditions: – natural history leads to autonomic dsyfunction (loss of skin pliability), motor changes lead to altered wt bearing forces on the foot, and sensory dysfunction leads to formation of skin breakdown and wounds (leading cause of amputation); – vascular pathology – diabetic charcot … Read more
– See: – Diabetic Foot Menu – Osteomyelitis in the Diabetic Patient – Amputations in the Diabetic Patient – Discussion: – several abnormalities of cutaneous circulatory anatomy & hemodynamics exist in pts with diabetes; – increased incidence of atherosclerosis, calcification of tunica media, & thickening of tunica … Read more
– low mol. wt. dextran; – adjunct in peripheral vascular surgery; – works by expanding plasma volume and decrease blood viscosity; – prophylaxis of DVT and thromboembolism: 10 ml/kg IV on day of surgery followed by 500 ml IV daily for 2-3 days; – then 500ml IV every 2-3 days based on patient risk factors … Read more
– neurological exam for the neuropathic charcot foot: – in exam of the diabetic foot note the neurologic findings are usually distal, symmetrical, and sensory; – absent or diminished tendon reflexes are characteristic findings; – ankle jerk is mainly affected and is absent 4 times > knee jerk; – diminution or … Read more
– Discussion: – this branch is one of the major communications between deep and superficial femoral systems of the leg; – descending branch may arise separately from either femoral or profunda artery passes downward beneath Rectus Femoris; – provides branches to Vastus Lateralis & intermedius, accompanied by branches of Femoral Nerve, & … Read more
– Discussion: – descending genicular artery arises superomedially from from superficial femoral artery just proximal to adductor hiatus, and then immediately, it divides into the saphenous and articular branches; – saphenous branch anastomosises w/ medial inferior genicular artery; – articular branch: descends in the … Read more
patello-femoral function: – significant forces are generated across the patellofemoral articulation on flexion and extension of the knee; – these forces progressively increase as flexion angle of knee increase; – contact area between the femur and the … 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
– Discussion: – most tibial plateau frx exhibits bony healing withing 3 months of frx; – any frx that fails to heal clinically & radiologically in 3 mo is considered to have a delayed union; – most common cause of delayed union is gradual loss of frx reduction over period … Read more