– Evaulation: – Patient’s Temperature: – hypothermia causes platlet dysfunction and increased bleeding time; – Treatment – platlets (6-8 units at a time); – One unit of platlets will increase platlet count by 1000; – Check 1hr post Platlet Count; – Dilutional Thrombocytopenia; – RBC transfusion or IV fluid therapy; – Treat with Platlet transfusions … Read more
– Discussion: (see: necrotizing fascitis ) – human bite wounds – snake bite: – Bacteriology of rattlesnake venom and implications for therapy. – cat bite: (see cat scratch disease) – consider pasteurella multocida; note P. multocida infection develops within 24hrs; – with bites on the finger observe for osteomyelitis; … Read more
– for control of extrapyramidal disorders caused by neuroleptic drugs and as an adjunct in the therapy of parkinsonism; – antagonist of acetylcholine, antihistamine; – Parkinsonism:1-2mg PO qd to max dose: 6mg PO qd in 2 divided doses; – initiate low dose:.5mg increments 6 day intervals; – Drug induced extrapyridamal symptoms: 1-4mg qd
– Ref Prognostic Features – Ref for Pulmonary Resection in Osteosarcoma – Ref for Surgery & Surgical Limb Salvage – Ref for Radiation Rx for Osteosarcoma – MRI Ref – Chemotherapy Ref Medical Progress: Osteosarcoma: fifteen Years Later. Surgical treatment for osteosarcoma Osteosarcoma of the spine Limb-salvage treatment versus amputation for osteosarcoma of the distal end … Read more
– See: – Osteomyelitis Child < 3yrs – Septic Hip – Bacteriology: – between ages six months and two years, hemophilus influenza type B is the main pathogen in septic arthritis (30-50 %), followed by Staph aureus and strep; – in infants and children 1 … Read more
– See Human Bite – Bacteria Sensitive to Augmentin / Unasyn – staph aureus – along w/ streptococcus is the most common inciting organism in hand infections; – streptococcal Gr A beta hemolytic – shows cellulitis, lymphangitis, lymphadenopathy, fever, and a … Read more
– for aerobic Gm Neg bact and Enteric & P. aeruginosa – Adult: 1-2gm IV/IM q6-12hr; – Not effective for Gm pos nor anaerobic bacteria; – Poor activity with: Staph, enterococci, NonEnteroStrep; – may be given to Penicillin sensative individuals; – Good diffusion from blood into CSF only with inflammation; Ratio of CSF … Read more
– Discuussion: – axillary nerve (C5, C6) originates from and passes backward from posterior cord of brachial plexus – at level of axilla; – it arises immediately posterior to the coracoid process and conjoined tendon; – it crosses the inferolateral surface of the subscapularis, 3-5 mm … Read more
– Discussion: – prevents conversion of purine bases by suppressing synthesis of guanine and adenosine; – RA Doses: 1-2.5 mg/kg/day; – onset of action is usually 12 to 24 weeks; – discontinuation of the drug is marked by a return in disease activity; – Toxicity: – most common toxicity is gastrointestinal including nausea, anorexia, and, … Read more