– Discussion: – consists of polyostotic fibrous dysplasia, cafe’-au-lait spots of “coast of Maine” variety, and premature menses; – it is more common in girls than boys and accompanies approx 1 in 30 cases of polyostotic fibrous dysplasia; – there is appreciable coincidence of other endocrinologic dz including hyperthyroidism & Cushing’s … Read more
– Discussion: – B agonist; – for brochospasm in reversible airway dz and for relief in exercised induced bronchospasm; – adult: – 2-4 inhalations q4-6hr or 2-4 mg PO tid/qid; nebulized 2.5-5mg in 3ml NS (supplied in 5 mg/ml solution); … Read more
– Discussion: – onset- usually a few hours to 10 days after last drink (Usually 6-48 hr); – early symptoms: tend to be mild; – nausea, vomiting, anorexia, insomnia, diaphoresis, agitation, tachycardia, HTN, if seizures occur, – common abstinence syndrome, occurring at 6-8 hr, is the earliest withdrawl syndrome and is often present when the … Read more
– See: Skin Prep; – alcohols are most effective on clean skin; – the most effective alcohol concentration is between 70 and 90% – alcohols may not kill all spores; – as a drawback it has a skin dessicating effect
– See: – Pediatric Lateral Condyle Frx – Discussion: – frxs of lateral condyle that involve capitulum alone or extend medially to involve the lateral portion of trochlea; – see capitellum fracture – Lateral approach – typically the plate is positioned posteriorly, and can be placed if needed as far as … Read more
– See: Pediatric Radial Neck Frx – ORIF of radial neck frx in adults: – similar principles as radial head frx – see: posterolateral approach: – consider the new precontoured radial head locking plates; – careful not to injure posterior interosseous nerve – safe zone: – radial head is covered by cartilage on 360 degrees of … Read more
– Discussion: – cardiopulmonary problems (thoracic curves > 60-65 deg alter PFT’s; – curves > 90 deg may cause myelopathy & may affect mortality; – progression is unlikely in curves < 30 deg – single major thoracic curves > 60-80 deg … Read more
V. Fib and Pulseless VT V. Tach PSVT A. Fib A. Flutter PAT Bradycardia ventricular ectopy Asystole Angina / MI – Misc: – IJ Central Line Insertion; – CPR … Read more
Agent A/V effect Dilution Dose Range Comments Nitroprusside (art & ven) 100 mg/250 ml 1-10 ug/kg/min CN toxicity Incr. Pul Shunt. Trimethaphan (arterial) 500 mg/250 ml 1-6 mg/min Neg. Inotroph Tachyphylaxis Nitroglycerin (ven > art) 200 ug/ml 1-5 ug/kg/min
– See – Pediatric Both Bone Frx – Deforming Forces – Discussion of Blount Fractures – Implants for Fractures of the Radius and Ulna – Plating Techniques – Indications for Operative Treatment: – all displaced, unstable fractures of the radius and ulna in adults; – radial shaft fractures: all displaced fractures of the radius with … Read more