Diff Dx Hypernatremia: 136-145 mmol/L
See: Rx Hypernat Hyper Nat: Low Total Body Na Normal Total Body Na High Total Body Na
Orthopaedics
Composition of Elemental Diets
Component: Osmolite Osm/HN Vivonex-HN Sustacal / HC Jevity ———————— kcal/mL 1 1 1 1 1.5 … Read more
Sustained V tach
– See: – Diff Dx – Discussion – VT vs SVT – PSVT PULSE PRESENT Pulseless VT __________________________________|____________________ | | Stable Unstable | | O2 ABG | | IV Access IV Access | | lidocaine, 1mg/kg | | lidocaine, 0.5 mg/kg, q8min l or upto 3mg/kg | | Cardiovert 50 Joules Procainamide, 20mg/min | upto … Read more
Signs and Symptoms of Renal Dz
GFR Symptoms: 40-120 None 20- 39 Fatigue on heavy exertion, sl impaired ability to concentrate; 10- 19 Weakness, pruritus, restless legs, cramps, wt loss w/ retained appetite, HA and palpitations from high blood pressure; … Read more
Soft Tissue Resurfacing Arthroplasty
– See: – Autologous Hamstring Resurfacing – Tendon Metaplasia to Cartilage: References – Perisoteal Graft Studies for Chondral and Degenerative Arthritis of the Knee – Enhanced Microfracture References Knee Joint: Allogeneic deep frozen meniscal graft for repair of osteochondral defects in the knee joint. Treatment of osteochondral defects with tendon autografts in a … Read more
Stableloc External Fixator
The Stableloc is a lightweight, radiolucent external fixator for Colles fractures of the distal radius. Independent adjustments on the Stableloc allow for systematic reductions of these complex fractures. Each pivot or movement is strategically placed to provide a single degree of movement without compromising reduction in other areas. A variety of pin designs offer each … Read more
Routine Lab Studes for the Stabilized TPN Patient
– Daily: I & O; Wt; Urine Glucose; – 2-3 qw: TPN lab panel; – 2 x qw: Nitrogen Balance; – qw: Platlets/CBC, PT, ZINC; – q monthly: Vit B12 and Folate; Original Text by Clifford R. Wheeless, III, MD.
References for Diabetes and Infection
Medical Intelligence: Drug Therapy — The Physiologic Replacement of Insulin: An Elusive Goal. Original Articles: Role of Insulin in Management of Surgical Patients with Diabetes Mellitus. Original Articles: Perioperative Management of Diabetic Subjects: Subcutaneous Versus Intravenous Insulin Administration During Glucose-Potassium Infusion. The influence of diabetes mellitus on the healing of closed fractures. Diabetic foot infections. … Read more
RIGHT VENTRICULAR HYPERTROPHY
Note: mean QRS Vector & Vent Hypertrophy Can’t be accurately calculated in the presence of B.B.B. Consider Causes: – HTN – Pulmonary Stenosis – Primary Pulmonary HTN – Long standing CAD – Congenital heart dz: Endocard. Cush Def/Ost. Primum Def Atrial Septal Defect Tetralogy of Fallot / Note: large R wave in V1; / small … Read more
Review of Systems
General. Fever, chills, desired weight, fatigue. Diet. Appetite, restrictions, supplements, vitamins. Skin, hair, and nails. Rashes, pigment changes, pruritus, easy bruising; change in hair texture, quantity, distribution; nail changes. Head and neck. Injuries, headaches, dizziness, loss of consciousness. Eyes. Visual changes, trauma, eye diseases. Ears. Tinnitus, hearing loss, pain, vertigo. Nose. Congestion, nose bleeds, post-nasal … Read more