Ortho Preferred Malpractice Insurance

Differential Diagnosis of Carpal Tunnel Syndrome

– see carpal tunnel syndrome – Overuse Syndromes:        – include muscle pain, tendinitis, fibrositis, epicondylitis, & psychological conditions that may contribute to disability; – Vascular Pathology – Anatomic Diff Dx:     – Cervical Root Impingement           – combination of nerve entrapment & radiculopathy (C6-C7) is not uncommon … Read more

Diff dx: Neurogenic joint

(see also: Neuropathic Shoulder) Diabetes mellitus (diabetic charcot foot and ankle) Tabes dorsalis Syringomelia Septic Elbow in the Setting of Neuropathic Joint as the Initial Presentation of a Cervical Syrinx Meningomyelocele Leprosy Tumors of the spinal cord Degenerative spinal disease with nerve root compression Subacute combined degeneration of the spinal cord Amyloid neuropathy Giantism w/ … Read more

Dictation for LRTI

 DESCRIPTION OF PROCEDURE: After induction of satisfactory axillary  block anesthesia, patient’s left upper extremity was prepped and  draped in the usual sterile fashion.  After exsanguination of the draped in the usual sterile fashion.  After exsanguination of the  left upper extremity with Esmarch, pneumatic tourniquet was placed at 300 mmHg.  Longitudinal incision was made over the volar radial aspect of the … Read more

Examination of the Diabetic Foot

– neurological exam for the neuropathic charcot foot:       – in exam of the diabetic foot note the neurologic findings are usually distal, symmetrical, and sensory;        – absent or diminished tendon reflexes are characteristic findings;        – ankle jerk is mainly affected and is absent 4 times > knee jerk;        – diminution or … Read more

Descending branch of the Lateral Circumflex Femoral Artery

– Discussion:     – this branch is one of the major communications between deep and superficial femoral systems of the leg;     – descending branch may arise separately from either femoral or profunda artery passes downward beneath Rectus Femoris;     – provides branches to Vastus Lateralis  & intermedius, accompanied by branches of Femoral Nerve, & … Read more

Depolarization

– Discussion: Stimulus for Contraction:     – stimulus for muscle contraction is an electrical impulse from motor nerve at the motor end-plate or neuromuscular junction;     – when sarcolemma is stimulated by an incoming impulse, sodium, potassium, and chloride ions move about w/in transverse tubules           to spread impulse and depolarize membranes;       … Read more