Dr. Mangal Parihar – Discussion: It is during the distraction phase that most of the complications of the treatment will occur, and consequently the surgeon has to be constantly on the lookout for the known complications. Follow-up Frequency: During the distraction phase, the patient should be seen at least every two weeks. At these visits … Read more
– See: Musculoskeletal Considerations in Pregancy – Discussion: – uncommon disease which is a diagnosis of exclusion; – most often seen in women during the third trimester of pregnancy and in middle-aged men; – typically there is no antecendent trauma; – up to 40% of patients may … Read more
– See: respiratory alkalosis: – Discussion: – induction of hypocapnia is probably the most frequently used technique to reduce intracranial pressure; – lowering partial pressure of CO2 to 26-28 mm Hg (3.5-3.7 kPa) reduces cerebral blood flow & thus lowers intracranial pressure; – even w/o ability to measure intracranial pressure, inducing … Read more
– Male 4.5-8.2 mg/dL; Female 3.0-6.5 mg/dL; Child 2-5.5 mg/dL; Increased: Gout Renal Failure, Increased DNA degredation (Leukemia, Anemia, Chemotherapy, Toxemia of Pregnancy), Meds (Diuretics), Lactic Acidosis PolyCystic Kidneys Sarcoidosis (50% will have hyperuricemia); Multiple Myeloma Decreased: Uricosuric Meds (Salicylates, Probenecid, Allopurinol), Wilson’s dz, Fanconi’s syndrome
– Diff Dx: – Renal Failure – Secondary Hyperparathyroidism – Hypoparathyroidism (surgical, psuedo) – Immobilization – Addison’s dz – Bone dz (Healing frx) – Factitious increase (hemolysis of specimen) – Vit D toxicity – Tumoral Calcinosis – … Read more
– See: – Central Cord Syndrome: – Extension Teardrop Fracture of C2 – Hangman’s frx – Jefferson Fracture – Lower Cervical Burst Fractures – Hyperextension fracture dislocation – Prevertebral Soft Tissues – Discussion: – hyperextension injuries may include: … Read more
– See: Humeral Frx – Main Menu – Condylar Fractures – Non Union of Humeral Fractures – Pediatric Humeral Shaft Fracture – Synthes Humeral Shaft Products – Discussion: – mechanism: – bending force … Read more
– See: Pediatric Femoral Frx Menu – Discussion: – timing: – Immediate single-leg spica cast for pediatric femoral diaphysis fractures. – contraindications: – unacceptable shortening or angulation; – open fractures; – thoracic or intra-abdominal trauma; … Read more
– Timing: – references: – Decompression and stable internal fixation of femoral neck fractures in children can affect the outcome. – Femoral Neck Fractures in Pediatric Patients: 30 Years Experience at a Level 1 Trauma Center. – Fractures of the hip in children and adolescents. – Earlier Time to … Read more
– Hip Arthroscopy: (see hip joint and hip capsule) – indications: – evaluation of hip pain- candidates are patients with nonspecific radiographic findings and reproducible, functionally-limiting exam findings; – false negative rate of plain x-ray, bone scan, CT, arthrogram, and routine MRI has been quoted as high as 80% in some patient populations. – gadolinium enhanced MRI demonstrated … Read more