– Positioning: – foley and appropriate IV access established; – place patient into left lateral decubitus position (L side up) – break table in the middle; – Incision and Exposure: – incision is made along 10th rib which then curves along anterior abdomen as appropriate (based on size of patient); – 10th rib is identified, … Read more
– See: – Pillar View – Discussion: – this view demonstrates C3 thru C7 vertebral bodies, spinous processes and lateral masses; – Evaluates: – lateral mass fractures – sagittal plane frxs (also called vertical compression frx) may be visualized on the anteroposterior view; – this view … Read more
– See: – X-rays for THR – X-rays for Femoral Neck Fractures – Discussion: – this view should demonstrate the iliac bone, sacrum, pubis, ischium, femoral heads and necks, and greater or lesser trochanters; – arcuate, iliopubic, ilioischial, and acetabular teardrop lines, sacral foramina, & SI … Read more
– See: – PA View – Radial Inclination – Discussion: – AP has the dorsum of the hand touching the film, with the x-ray beam passing palmar to dorsal, whereas in a PA film, the palmar surface lies flat on the film and the x-ray beam passes from the dorsal to palmar surface; – palmar … Read more
– indications: – allows unobstructed view of articular surface of acetabulum; – technique: – proximal bolt is inserted in the iliac wing in its superior portion, just distal to thickened crest; – proximal bolt must pass through portion of ilium in continuity w/ sacrum (or frx … Read more
– Amphotericin B/Fungizone – Clotrimazole/Lotrimin – Econazole/Spectazole – Griseofulvin – Fluconazole – Ketoconazole/Nizoral – Miconazole/Monistat – Nystatin/Mycostatin Pyogenic and fungal vertebral osteomyelitis with paralysis. A randomized trial comparing fluconazole with amphotericin B for the treatment of candidemia in patients without neutropenia. Candidemia Study Group and the National Institute.
– Seee: Anterior Pelvic Injuries – Discussion: – symphyseal diastasis and/or longitudinal rami fractures; – these injuries result from relatively anterior or posterior forces applied to the anterior or posterior superior iliac spine areas; – this gives rise to forces that tend to disrupt anterior pelvis, either by fracturing … Read more
– See: Hetertopic Ossification of the Elbow: – Discussion: – most indicated for flexion contractures of the elbow (w/o extension contracture); – disadvantages: – some patients may gain extension but will loose flexion (especially if they are casted in extension); … Read more
– See: Hyperflexion Injuries – Discussion: – partial or complete tear of posterior ligaments w/ varying degrees in widening of the interspinous and interlaminar spaces, as well as subluxation, but not dislocation of Facet Joint; – hyperflexion sprain injury may include mild anterior subluxation of involved vertebral body; – this subluxation … Read more
– See: – Anterior Drawer Test – Anatomy: – it connects anterior fibula to neck of talus; – ligament is thickening of ankle capsule that extends short distance from anterior edge of distal part of fibula to talar neck, anterior to its lateral articular facet; … Read more