Background: By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later half of 2007 at Franklin Regional Medical Center. This procedure involves harvesting the gracilis and semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone anchors. The drill holes for the bone anchors serve as a source for hematopoetic … Read more
– See: Antidiabetic agents – for type II diabetes; long acting sulfonylurea; – Adult: 2.5-10mg PO qd, titrated to response; – Precautions: – reduce dose in elderly; disulfiram rxn; – contraindicated w/ DKA, use w/ caution in patients w/ renal or hepatic dz; – hypoglycemic action of glipizide may be potentiated by drugs that are … Read more
– Discussion: – glimepiride tablets are an oral blood-glucose-lowering drug of the sulfonylurea class; – adult dosage: – patients are started at 1-2 mg PO qd; – maintenance dose ranges from 1 to 4 … Read more
– See: Antidiabetic Medications: – for type II diabetes; sulfonylurea hypoglycemic; – Adult: 5mg PO qAM; titrate as need; – Precautions: – reduce dose in elderly; watch disulfiram rxn; – contraindicated w/ DKA, use w/ caution in patients w/ renal or hepatic dz; – hypoglycemicaction of glipizide may be potentiated by drugs that are highlyprotein … Read more
– See: Aminoglycocides – Discussion: – indicated for serious Gm Neg infections caused by suseptable Pseudomonas, Proteus, E. coli, Klebsiella, Enterobacter sp., Serratia, and Gm Neg Sepsis; – as with all aminoglycocides, gentamicin binds to bacterial ribosomes and inhibits protein synthesis; – tobramycin is more active than gentamicin against Pseudomonas, including … Read more
– Discussion: – occur primarily as opportunistic infections in immunocompromised patients; – most often due to candida; – histology: noncaseating, acid-fast-negative infections; – organism are identified with a positive fungal culture, potassium hydroxide slide preparation, or Gomori methenamine silver stain – in … Read more
– Pathophysiology: – effects of cooling: – temperature of the hands and feet is partially determined by ateriovenous regulation of blood flow; – vascular effects: – severe vasoconstriction 2nd to increased sympathetic tone; … Read more
– See Lovenox – Discussion: – synthetically manufactured pentasaccharide anticoagulant; – inhibitor of antithrombin (see coagulation cascade); – in contrast to heparins (which inactivate factor Xa and thrombin), fondaparinux only inhibits antithrombin; – dosage: 2.5 mg SQ q24 Effect of low molecular weight heparin (dalteparin) and fondaparinux … Read more
– Discussion: – general discussion of non union / infected femoral nails – femoral shaft that has not healed in 26 wks signals a delayed union; – may be more common in segmental fractures and in winquest type IV fractures; – most common iatrogenic risk factor is failure to … Read more
– Discussion: – type of gram positive bacteria; – term enterococcus derives from French (enterocoque) describing its enertic origin; – enterococci include: Strep faecalis, faicium, and durans; – strep faecalis inhabits the human intestinal tract and is a nonhemolytic strain of generally low pathogenicity; – … Read more