Calcium Supplements
– See Vit D Discussion: – Discussion: – calcium requirements: – age 1 – 10: 800-1000 mg per day; – age 11 – 35: 1200 mg per day; – premenopausal: 1000 mg per day; – postmenopausal: 1500 mg per day; … Read more
Medications
Bursae and Bursitis of the Knee
– See: – Septic Knee: – Synovium of the Knee: – Anatomy: – four bursae around knee are susecptible to and inflammatory response from direct or indirect trauma; – prepatellar bursae is most commonly affected area (housemaids knee); – may show significant degree of … Read more
Bone and Fracture Healing
– See: Bone Topics – Discussion: – woven bone healing: – ref: Distal radial fractures heal by direct woven bone formation – stages of enchondral bone healing: – hematoma / inflammation: – shortest stage of fracture healing – disruption of vascular flow through the marrow and periosteum … Read more
Cardiac Sports Conditions
– See: – pulmonary contussion: – cardiac enzymes – blunt cardiac trauma – Discussion: – defined as cardiogenic shock, arrhythmias requiring treatment, or structural cardiac abnormalities directly related to the cardiac trauma; – Commotio Cordis: – catastrophic condition (rare) that is caused by blunt … Read more
Bleeding secondary to Platlet Abnormalities
– Evaulation: – Patient’s Temperature: – hypothermia causes platlet dysfunction and increased bleeding time; – Treatment – platlets (6-8 units at a time); – One unit of platlets will increase platlet count by 1000; – Check 1hr post Platlet Count; – Dilutional Thrombocytopenia; – RBC transfusion or IV fluid therapy; – Treat with Platlet transfusions … Read more
Bite Wounds
– Discussion: (see: necrotizing fascitis ) – human bite wounds – snake bite: – Bacteriology of rattlesnake venom and implications for therapy. – cat bite: (see cat scratch disease) – consider pasteurella multocida; note P. multocida infection develops within 24hrs; – with bites on the finger observe for osteomyelitis; … Read more
Benztropine Mesylate/ Cogentin
– for control of extrapyramidal disorders caused by neuroleptic drugs and as an adjunct in the therapy of parkinsonism; – antagonist of acetylcholine, antihistamine; – Parkinsonism:1-2mg PO qd to max dose: 6mg PO qd in 2 divided doses; – initiate low dose:.5mg increments 6 day intervals; – Drug induced extrapyridamal symptoms: 1-4mg qd
Bibliography for osteosarcoma
– Ref Prognostic Features – Ref for Pulmonary Resection in Osteosarcoma – Ref for Surgery & Surgical Limb Salvage – Ref for Radiation Rx for Osteosarcoma – MRI Ref – Chemotherapy Ref Medical Progress: Osteosarcoma: fifteen Years Later. Surgical treatment for osteosarcoma Osteosarcoma of the spine Limb-salvage treatment versus amputation for osteosarcoma of the distal end … Read more
Bacteriology of Orthopaedic Infections: 6 mo – 2 yrs
– See: – Osteomyelitis Child < 3yrs – Septic Hip – Bacteriology: – between ages six months and two years, hemophilus influenza type B is the main pathogen in septic arthritis (30-50 %), followed by Staph aureus and strep; – in infants and children 1 … Read more