The Hip book

Liver Function Analysis

– Liver Panel:       – Alkaline Phosphatase       – GGT       – AST/ALT       – LDH        – Liver Failure:             – add the following:                   – Thiamine                   – Vitamin K                   – D/C medications that are metabolized by the liver:                            – ativan, oxazepam, and most other sedatives;                             – cipro (flouroquinolones) – lidocaine … Read more

Ketoconazole/Nizoral

– For treatment of systemic fungal infections; Candidiasis, chronic mucocutaneous candidiasis, oral thrush, Blastomycosis, coccidioidomycosis, histoplasmosis, and paracoccidioidomycosis; – topical cream for localized fungal infections due to dermatophytes & yeast; – Adult: 200mg PO qd; increase to 400mg PO qd for very serious infections; – Associated with severe hepatotoxicity; monitor LFTs closely throughout course of therapy; … Read more

Orthopaedic Journals

JPO Journal of Orthopaedic Trauma Journal of Trauma Acta Orthop Orthopedics American Journal of Orthopaedics Injury Orthopaedic Links JBJS Acta Orthopaedica Scandinavica American Journal of Orthopedics American Journal of Sports Medicine Archives of Orthopaedic and Trauma Surgery Archives of Physical Medicine and Rehabilitation Arthritis Research and Therapy Arthroscopy Arthroskopie Atlas of the Hand Clinics Biomaterials … Read more

Isoniazid (INH)

– Indications for Use:     – for active TB, and the prevention of TB; – Dosage:     – IM and IV routes rareley used;     – adult:          – 3-5mg/kg/24hr PO qd (up to 300mg/day) for 9 months as combination therapy;          – prophylaxis: 300mg/kg/24hr PO … Read more

IPECAC SYRUP

    Emetic for use in drug overdose and certain cases of poisening;  Adult: 30 ml PO followed by 200-300 ml water; if no emesis occurs in 20 min, may repeat x 1;  Peds: 6-12 months: 5-10 ml PO followed by 100 ml of water; if no emesis in 20 min, may repeat x 1; … Read more

Infections of the Hand

– See: Work Up and Treatment:      – Bacteriology of Hand infections      – Bite Wounds      – Clenched Fist Injury      – Collar Button Abscess      – Felon      – High Pressure Injection Injuries      – Infectious Flexor Tenosynovitis      – Lumbrical Muscle Sheaths      – Mid palmar space      – Kanavel’s signs   … Read more

Infected / Septic THR

 – See: Total Hip Replacement Menu:  and see total knee replacement infections – Diagnosis: – diagnosis of septic loosening is initially based on history, x-ray findings, and elevated sed rate; – clincially patients may note increasing pain at both rest and with activity; – despite the variety of tests available, it may be difficult to distinguish … Read more

INDAPAMIDE/LOZOL

– for HTN;  – Works as Indoline diuretic;  – Dose: Initially: 2.5mg qd in AM;  – May 1 week, increase dose to 5mg qd;  – Contraindicated w/ hypersensitivity to sulfonamide derived drugs

Imipenem/Cilastin/Primaxin

– Discussion:     – 0.5-1gm q6-8h IV;     – good for Pseudomonas, Enteric, Coag pos Staph (except for MRS) and Staph producing B lactamases, anaerobes, w/ enterococci/ NonEneterococciStrep; Poor activity against Coag neg Staph;     – mild infections: 250-500mg IV q6hr;     – severe infections: 500mg-1gm IV q6-8hr;     – maximum … Read more