The Hip book

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

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

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