– See: – Bld Prod Menu / – Platlet Transfusion – Discussion: – manifestations: – vessel or platlet abnormalities: – these present with petechiae, purpura, or easy bruising; – bleeding characteristically occurs superficially (bleeding from mucus membranes or from IV sites); – bleeding from scury shows perifolicular hemorrhages, gingival bleeding, and intramuscular hematomas; … Read more
– See: Theophylline Preparations: Drug Interactions and Toxicities: Aminophylline; – Discussion: – for prevention of bronchial Asthma, reversible bronchospasm assoc w/ chronic bronchitis and emphysema; – is direct relaxant of smooth muscle of bronchial airway & pulmonary blood vessels (bronchodilator and smooth muscle relaxant); – Adult Dose: – can only begiven PO; – 24mg/kg/24hrs PO … Read more
– Discussion: – for streptococcus and staph when penicillin is contraindicated; – tetracycline works by inhibiting the 70s bacterial ribosomes; – adult:250-500 mg PO bid/qid (taken between meals); – IM/IV routes not recommended; – peds: RMSF: 25-50 mg/kg/day q6 hr for 7 to 10 days; … Read more
– for rheumatoid and osteoarthritis, and anlkylosing spondylitis; – Acute gouty arthritis; – Acute bursitis/subacromial buritis or tendinitis/supraspinatus tendinitis; – NSAIA; Dose:150-200mg PO bid with food; – increase as needed to maximum 400mg/day; – Should be administered with food; – Contraindicated with: patients w/ h/o asthma, urticaria, or rhinitis precipitated by ASA or NSAIA; – Contra … Read more
– Discussion – Examination of Patellofemoral Joint – exam considerations: – generalized hyperlaxity – femoral anteversion – vastus medialis obliquus atrophy – genu valgum – external tibial torsion – patellar dysplasia – trochlear dysplasia … Read more
– See: – Rheumatoid Arthritis – Steroids – Discussion: – corticosteroids may occassionally be used to alleviate intractable joint inflammation or vasculitis in RA; – however, there is a risk of iatrogenic Cushing’s syndrome; – intraarticular instillation of steroids is … Read more
– See: Anti-Fungal Agents – Discussion: – is a fungus that may be introduced into the extremity thru abrasions caused by splinters or thorns (rose bushes); – incubation period is 1-12 weeks; – may start as a red papular lesion and then develops into an abscess and spreads to … Read more
– 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