– Discussion: – vertebral bodies are the skeletal elements most at risk of frx in this disease; – progressive loss of stature results in progressive shortening of paraspinal musculature which therefore requires more prolonged active contraction for maintenance of posture (resulting in pain of muscle fatigue); … Read more
– See: necrotizing fascitis – Discussion: – snake bite resources – snake types: – pit vipers (crotaline) which include rattlesnakes, cottonmouths, and copperheads; – crotalus (rattlesnakes) – agkistrodon (copperheads, water moccasins) – micrurus … Read more
– Discussion: (see silvadene.com) – silvadene burn cream is a 1% suspension of silver sulfadiazine in a water soluble base; – for prevention and treatment of wound sepsis in patients with second and third degree burns; – topical bactercidal agent effective against many gran negative and positive bacteria as well as yeast, … Read more
– Discussion: – anatomy and ligamentous contraints: – ligaments of the wrist – SL interosseous ligament – SLD is most common and most significant ligament injury of wrist; (carpal instability); – risk factors: ulna minus configuation, slope of radial articular surface, and lunotriquetral coalition; – spectrum of injury: (increasing severity) – ref: Association of lesions of … Read more
– See: – A. Flutter – Causes of A. fib – r/o WPW as a predisposing cause; – If Unstable (or onset < 3 days): Cardio Convert (100 J) – If Stable: (w/ rates greater than 100/min) Consider – Digoxin: to slow the AV conduction rate – Propanolol: – Diltiazem – Verapamil: – combination of … Read more
– Discussion: – for primary TB, treatment of assymptomatic carriers of N. meningitidis to eliminate meningococci from the nasopharynx; – also used in combination with other agents (cipro, levofloxacin, zyvox) for treatment of staphyloccocus infections; – it inhibits bacterial DNA dependent RNA polymerase activity; – may be especially useful to eradicate … Read more
– See: – Hyperpronation of Rheumatoid Foot; – Rheumatoid Arthrtis – Rheumatoid Foot – Discussion: – most commonly affected portion of the rheumatoid foot; – typical forefoot deformities are hallux valgus, hyperextension of MP joints, and flexion ofthe IP joints of the … Read more
– See: Compartment Syndrome – Discussion: – traumatic rhabdomyolysis, or crush syndrome, is consequence of prolonged continuous pressure on the limbs; – it reflects disintegration of muscle tissue & influx of myoglobin, potassium, and phosphorus into the circulation; – syndrome is characterized by hypovolemic shock and hyperkalemia; … Read more
– Dialysis: – for hypercatabolic patient early and aggressive dialysis which is instituted before the Cr is > 8-10 and before BUN > 100 improves patient outcome; – hemodialysis effciently removes aminoglycosides (50% after 4hrs) and penicillins and cephalosporins; – hence drug doses should be given at the end of … Read more