(see also orthopaedic infections) Discussion an acute phase protein that can be used to follow the course of acute infections; produced in the liver by cytokines – IL-6 it rises and falls faster than the ESR; 10 mg per liter is used as the threshold for total hip infection infection; using this threshold, the sensitivity … Read more
– Discussion: – for patients with Q wave infarcts B. blockers are helpful when the following conditions apply: (assuming no contraindications) – all patients > 60 yrs; – all patients who exhibit ischemia on excercise; – patients with abnormal left ventricular function; (? < 45%) – patients who require B. blockers for rest Angina or … Read more
– intraoperative injection: – 300 mg ropivacaine (0.2%) (150 mL) + 30 mg ketorolac (1 mL) + 500 µg of epinephrine (1:1000) (0.5 mL) (prepared on the sterile field) – 18 gauge needle is used to inject in 3 equal 50 mL doses into each of 3 locations: (a) posterior capsule (b) medial, lateral … Read more
– Blood Product Menu: – pRBCs – Fresh Frozen Plasma – Platlets – Cryoprecipitate – Transfusion Therapy – Coag Pathway – Acidemia and Hyperkalemia: from massive transfusions; – massive transfusion: transfusion of pRBC >6-8 units, must also provide platlets; – 8 units platlets for ea 10-12 units pRBC’s … Read more
See: Physical Therapy after TKR and Work Up of Painful TKR – Rising from Chair: – Persistence of altered movement patterns during a sit-to-stand task 1 year following unilateral total knee arthroplasty. – Golf: – Golf after total knee arthroplasty: do patients return to walking the course? – Workers Compensation: – Total knee … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>br/> hr size=”3″/>br/> – r/o lower UT obstructionbr/> – If bladder obstruction presentbr/> * expect Uo > 400 mlbr/> * pt to be relievedbr/> * Regularly flush Foley w/ 20-30ml NS; ensure free urine flow;br/> – If patient … Read more
– Discussion: – blood supply to 1st metatarsal head is both extraosseous & intraosseous; – extra-osseous supply: – enters metatarsal on its lateral and dorsolateral surface 2 cm proximal to the joint; – extra-osseous branches also enter lateral capsule; … Read more
– Studies that Do Support the Use of O2 for Prevention of Infection: – Supplemental Perioperative Oxygen to Reduce the Incidence of Surgical-Wound Infection – Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. – Studies that Do Not Support the Use of O2 for Prevention of Infection: … Read more
– pts who have had adrenalectomy, adrenal insufficiency, pituitary surgery, renal cell ca, or seminoma therapy should be given supplemental steroids; – previously, it has been recommended that patients who are on steroids or who have taken steroids in the past year be provided with supplemental IV steroids inorder to prevent an adrenal crisis; … Read more
– mitotic rate of regenerating epidermal cells increased 5-10 fold in moist, O2 rich environment as compared to desiccated wound environment; – in experimental wounds the local pO2 is 0-20 as compared to 30-60 mm in the normal tissues; – pCO2 in the wound is 60 mm with a pH of 7.1; – Methods … Read more