Podiatry

Athlete’s Foot prescribe products containing terbinafine such as lamisail AT Toenail Fungal Infections What’s the best treatment for toenail fungus? There’s no magic bullet. Lamisil (terbinafine) taken daily for 12 weeks works best. But, long-term success hovers only around 50%. It can cost upwards of $240 per month. It costs less if given in pulse […]

Morel-Lavallee Lesions

From the Trauma Professional Blog Their experience led them to develop the following practice guideline: Bottom line: The Morel-Lavallee lesion can be challenging to treat. Although this study has limited numbers, it provides enough guidance to suggest a consistent way of managing it. I recommend adopting this algorithm to provide a standard pathway for dealing […]

Trauma Teams

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Severe Traumatic Brain Injury

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Neglected phases of TBI-apneic and catecholamine surge Severe injury=GCS<8 Suspect elevated ICP if: GCS<8 or GCS ≤ 10 and: Hematoma volume > 30 ml (A,B,C,/2) Midline Shift > 1 cm Pineal shift > 5 mm Compression of the Lateral Ventricles CT Interpretation New BTF Recs B. Level II Blood pressure should be monitored and hypotension […]

Femur and Hip

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Hip Angle between shaft and neck should be 120-130º Femoral Head Femoral Neck Intertrochanteric Trochanteric, either greater or lesser Subtrochanteric Femoral Shaft-needs traction to reduce pain, swelling, elongate bone Soft Tissue Legg-Calve-Perthes Avascular necrosis of femoral head seen in 5-7 y/os Slipped Capital Femoral Epiphysis (SCFE) 10-16 y/o, obese, m>f C/o knee discomfort, especially with […]