Ciprofloxacin/Cipro
– Discussion: – broad spectrum quinolone against gm pos & neg organisms; – poor Activity against: enterococci, non entero strep, anaerobes; – adult: – PO: 250, 500, or 750 mg PO q12 hr; – IV: 200-400 mg IV q12 … Read more
Muscles Tendons
Flouroscopy in the Clearance of the Cervical Spine:
– Discussion: – in the report by Davis, et al (2001), the authors evaluated the efficacy and safety of dynamic fluoroscopy flexion-extension examinations in identifying ligamentous cervical spine injury and clearing the cervical spine in patients with altered mental status after trauma; – protocol required visualization of the entire cervical spine, through T1, through full extension … Read more
Cervical Disc Herniation
– See: – Cervical Spondylosis: – SCIWORA Syndrome – Discussion: – are most frequent at C 6-7 level but also occur at C 5-6 & to a lesser extent at C4-5 & other levels; – in relatively younger persons soft disk protrussion is more common … Read more
Anatomy of the Posterior Cruciate Ligament
– Anatomy: – PCL is approximately twice as strong and twice as thick as the normal ACL (therefore less commonly injured); – size: 13 mm, its length, 38 mm, (approximates that of ACL); – origin: – PCL originates from the antero-lateral aspect of … Read more
Amyotrophic Lateral Sclerosis
– See: – El Escorial Revisited: Revised Criteria for the Diagnosis of Amyotrophic Lateral Sclerosis – Disorders of Nerves: – Anterior Horn Cell Disorders: – ALS Society Homepage – Discussion: – amyotrophic lateral sclerosis is a syndrome characterized by both upper and lower motor neuron … Read more
Amoxicillin/K+ & Clavulic acid/Augmentin
– See: penicillin family – Discussion: – combination of clavulanic acid and amoxicillin (augmentin – 250 or 500 mg of amoxicillin plus 125 mg of clavulanic acid) provides oral preparation with enhanced activity against beta-lactamase- producing strains of Staph, Branhamella catarrhalis, H. influenza, N gonorrhoeae, and bacteroides; – oral administration of amoxicillin and clavulanic acid (every … Read more
Aldolase: 1.5 -12.0 micro / lit
requires about 5 ml of venous blood, pt NPO for AM blood draw. Increased: Dermatomyositis, Polymyositis, Limb girdle muscular dystrophy Chronic hepatitis, Portal cirrhosis, Obstructive jaundice (See bilirubin) Gangrene, Prostate tumors (PSA), Trichinosis, Liver mets, blood dyscrasias, delirium tremens, Burns, 20% of cancer pts. – Normal Values – Poliomyelitis, Myasthenia gravis, Multiple sclerosis, Neurogenic musclee … Read more
Technique of Total Shoulder Arthroplasty
– Position: – place patient in a beach chair position w/ torso flexed 45 deg and the knees flexed to 30 deg; – move patient to the edge of the table (operative side), and use a McConnel positioner to prevent the patient from failing off the table; – patient must lie … Read more
Tibio-Talar-Calcaneus Arthrodesis
– Discussion: – surgical indications include diabetic neuropathy, osteoarthritis, posttraumatic injury, talar AVN, and RA involving ankle and subtalar joints; – position for pantalar arthrodesis: – 0-5 deg of calcaneus (not equinus) and 5 deg of valgus; – in the report by Chou, et al, the authors … Read more
Internet Driven Form Generator for Brief Op note, Orders, Prescriptions, and Patient Education Sheet.
Problem: 1) The busy surgeon is faced with a mounting amount of documentation challenges which interferes with already hardpressed time constraints. (Any surgeon that disputes the increasing amount of documentation is probably not aware of current CMS guidelines). Most surgeons are probably not aware of what CMS requires and does not require (and has not felt … Read more