Medications
Hematocrit
– See: – pRBCs – Transfusion Therapy Male 40-54%; Female 37-47%; Decreased: – Megaloblastic Anemia, – Fe Deficient Anemia, – HbS Anemia, Acute or Chronic Blood Loss – Hemolysis, – Dilutional, ETOH, Meds; Increased: Polycythemia Vera, Secondary Polycythemia: Reduced Fluid Intake or Excess Fluid Loss, Congenital and Aquired Heart dz, Lung dz, High Altitudes, Heavy … Read more
Head Injury in the Child
– Discussion: – children have relatively fewer intracranial-mass lesions but relatively more intracranial hypertension than adults; – tendency to have diffuse brain swelling puts children at increased risk of secondary brain injury; – all children with Glasgow coma scores less/= 12 require special monitoring of their neurologic status; … Read more
Hand and Wrist Ref
Current Concepts Review. Carpal Instability. Problem Disorders of the *Wrist–Symposium:* On Resection of the Proximal Carpal Row. Problem Disorders of the *Wrist–Symposium:* Radiography of the *Wrist.* Trends in Subspecialties–Symposium: Adhesive Capsulitis of the *Wrist:* Diagnosis and Treatment. Problem Disorders of the Wrist–Symposium: The Vascularity of the Wrist: Identification of *Arterial* Patterns at Risk. Symposium–Progress in Sports Medicine: Athletic … Read more
Motivation for Soft tissue resurfacing / Enhanced microfracture technique
Background: By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later half of 2007 at Franklin Regional Medical Center. This procedure involves harvesting the gracilis and semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone anchors. The drill holes for the bone anchors serve as a source for hematopoetic … Read more
Glyburide/Diabeta/Micronase
– See: Antidiabetic agents – for type II diabetes; long acting sulfonylurea; – Adult: 2.5-10mg PO qd, titrated to response; – Precautions: – reduce dose in elderly; disulfiram rxn; – contraindicated w/ DKA, use w/ caution in patients w/ renal or hepatic dz; – hypoglycemic action of glipizide may be potentiated by drugs that are … Read more
Glimepride / Amaryl
– Discussion: – glimepiride tablets are an oral blood-glucose-lowering drug of the sulfonylurea class; – adult dosage: – patients are started at 1-2 mg PO qd; – maintenance dose ranges from 1 to 4 … Read more
Glipizide/Glucatrol
– See: Antidiabetic Medications: – for type II diabetes; sulfonylurea hypoglycemic; – Adult: 5mg PO qAM; titrate as need; – Precautions: – reduce dose in elderly; watch disulfiram rxn; – contraindicated w/ DKA, use w/ caution in patients w/ renal or hepatic dz; – hypoglycemicaction of glipizide may be potentiated by drugs that are highlyprotein … Read more
Gentamicin/Garamycin
– See: Aminoglycocides – Discussion: – indicated for serious Gm Neg infections caused by suseptable Pseudomonas, Proteus, E. coli, Klebsiella, Enterobacter sp., Serratia, and Gm Neg Sepsis; – as with all aminoglycocides, gentamicin binds to bacterial ribosomes and inhibits protein synthesis; – tobramycin is more active than gentamicin against Pseudomonas, including … Read more
Fungal Vertebral Osteomyelitis
– Discussion: – occur primarily as opportunistic infections in immunocompromised patients; – most often due to candida; – histology: noncaseating, acid-fast-negative infections; – organism are identified with a positive fungal culture, potassium hydroxide slide preparation, or Gomori methenamine silver stain – in … Read more