OTA Paper 1998: This study was undertaken to determine if intramedullary femoral nailing produces immediate worsening of pulmonary gas exchange in patients with femoral shaft fractures.
Conclusion: The process of femoral nailing with and without reaming does not appear to produce significant pulmonary marrow element emboli to alter pulmonary gas exchange,...

Covers both primary and secondary. Synonyms and related keywords: primary hypertrophic osteoarthropathy, primary HOA, HOA, secondary HOA clubbing, Hippocratic fingers, pachydermoperiostosis, Touraine-Solente-Gole syndrome, Goldbloom's syndrome, Goldbloom syndrome, Pierre Marie-Bamberger's disease, Pierre Marie-Bamberger disease, osteoarthropathie hypertrophiante pneumique, hypertrophic pulmonary osteoarthropathy, HPOA, acropachy, digital clubbing, periostosis, intrathoracic malignancy, intrathoracic infection, cyanotic cardiac...

Thromboembolism encompasses two interrelated conditions that are part of the same spectrum, deep venous thrombosis (DVT) and pulmonary embolism (PE). PE is the obstruction of blood flow to one or more arteries of the lung by a thrombus lodged in a pulmonary vessel (see Image 1). PE and DVT can...

Prodromal signs and symptoms of a venous pulmonary embolism (mylibrary - full text if you have a US Library card)

Prophylaxis using heparin and low molecular weight heparin
Heparins and some mechanical pumping devices may help prevent blood clots forming in the legs after surgery for hip fracture
Patients with hip fracture may develop blood clots (thrombosis) in their legs. Some of these blood clots may travel to the lungs and cause...

Paper No: 415 Friday, March 24, 2006 11:42 AM - 11:48 AM Location: McCormick Place S501 Shyam Kishan, MD Loma Linda CA (a - DePuy Spine) Peter O Newton, MD San Diego CA (a - DePuy Spine) Randal R Betz, MD Ocean City NJ (a - DePuy Spine) Lawrence G...

from Medscape Critical Care Osteomyelitis and MRSA? Question What are the antibiotics of choice for treatment of chronic bone infection with methicillin-resistant Staphylococcus aureus (MRSA)? Response from Greg S. Martin, MD Assistant Professor, Medicine, Division of Pulmonary Medicine, Emory University School of Medicine; Director, Emory Pulmonary Clinic, Grady Memorial Hospital, Atlanta, Georgia The treatment...

4000 cases of extrapulmonary involvment each year in the US;
- most common extra pulmonary location of TB is the spine;
- spine is the extrapulmonary site in over 50% of the cases of bone and joint involvement;
- about 2/3...

Deep vein thrombosis (DVT) and pulmonary embolism (PE) are common complications of acute spinal cord injury (SCI) and a major cause of morbidity and mortality in this patient population. Many patients with SCI do not receive DVT prophylaxis in the acute care setting, perhaps secondary to concomitant medical problems that...

Clinical Signs for DVT:
- exam may be unreliable but positive findings should not be ignored;
- calf tenderness, swelling, fever, & increased pulse rate may be present
- suggestive exam features for pulmonary embolism:
...

6 synonyms or equivalents were found. Histiocytosis X aka/or Langerhans cell histiocytosis aka/or Letterer-Siwe syndrome aka/or Schueller-Christian disease aka/or Eosinophilic granuloma aka/or Hand-Schuller-Christian disease may cause or feature Miscellaneous syndromes Bone cyst Bone lysis Hepatocellular jaundice Orbital mass Symptoms and Signs Breathlessness Exophthalmos Gum pathology Haemoptysis Hepatomegaly Lymphadenopathy Mastoiditis Oral ulceration Platyspondyly Rash Short stature Splenomegaly Suppurative otitis media Tooth loss Haematological abnormalities Leucoerythroblastic anaemia Neutropenia Red cell production reduced Thrombocytopenia Biochemical abnormalities Diabetes insipidus, non-nephrogenic Hepatocellular jaundice Histopathological abnormalities Pulmonary fibrosis X-ray abnormalities Periosteal reaction Endocrine conditions Hypopituitarism Malignant neoplastic conditions Bone metastases Respiratory conditions Pneumothorax Pulmonary fibrosis Histiocytosis X:...

Thrombosis is a naturally occurring physiologic process. Under normal circumstances, a physiologic balance is present between factors that promote and retard coagulation. A disturbance in this equilibrium may result in the coagulation process occurring at an inopportune time or location or in an excessive manor. Alternatively, failure of the normal...

Wheeless' Textbook of Orthopaedics
- vital capacity <75% (of predicted values) is seen in thoracic curves> 75 deg; - significant reductions in pulmonary function are seen in curves> 80 deg; - although some effect on pulmonary function can...

Kono et al JOS 2000 8(1) 19-26

Discussion in Nursing Forum

Poster Presentation Number: P388 Location: San Diego Convention Center, Sails Pavilion Spine
Andrew Perry, MD San Diego CA (a - DePuy Spine) Tracey Bastrom, MA San Diego CA (a - DePuy Spine) Lawrence G Lenke, MD Saint Louis MO (a - DePuy Spine, a,c,e - Medtronic) Randal R Betz, MD Ocean City...

OTA paper 1998: To determine if alveolar dead space fraction (Vd/Vt) predicts postoperative pulmonary dysfunction in patients undergoing intramedullary nailing (IMN) of femoral shaft fractures (FSF).

Mr Gurd Shergill and Mr Harish Parmar Archive copy from fractures.com
Fat embolism and the associated fat embolism syndrome is a serious and potentially life threatening complication of long bone trauma, blunt trauma and intramedullary manipulation. However, some seemingly unrelated conditions have also resulting in fat embolism, such as diabetes, burns, severe...

Altaf Hussain: A Fatal Fat Embolism. The Internet Journal of Anesthesiology. 2004. Volume 8 Number 2.
Fat Embolism and the associated Fat Embolic Syndrome is a serious and potentially life threatening condition. It tends to occur most frequently after fractures or intramedullary instrumentation of long bones particularly the femur and tibia....

# pulmonary
# malignancy (bronchogenic Ca, lymphoma, mets)
# abscess
# COPD / bronchiectasis
# pleural
# pleural fibroma (highest incidence of HOA, tho' rare itself)
# mesothelioma
# cardiac
# cyanotic congenital heart dz
# GI
# inflammatory dz (Crohn, UC)
# malabsorption (dysentery, lue, cirrhosis)

J Bone Joint Surg Br. 1999 Sep;81(5):821-4. Pelvic obliquity after fusion of the spine in Duchenne muscular dystrophy.Alman BA, Kim HK. The Hospital for Sick Children and Bloorview MacMillian Rehabilitation Centre, Toronto, Canada. Spinal fusion, ending caudally at L5 rather than at the sacrum, is recommended for selected patients with scoliosis due...

Discussion: - parosteal osteosarcoma is a low-grade malignant bone tumor that usually occurs on the surface of the metaphysis of long bones; - arises between cortex and muscle as a low grade stage...

aortic coarctation
* proximal to left subclavian artery ==> RIGHT
* anomalous right subclavian artery ==> LEFT
subclavian artery stenosis / atresia
* ==> IPSILATERAL
* Blalock-Taussig shunt
anastamosis of subclavian artery to pulmonary artery for Tetralogy of Fallot
* ==> IPSILATERAL

By linking the upper extremity to the axial skeleton, the scapula plays an important role in the function of the arm. Fractures of the scapula are somewhat uncommon, comprising less than 1% of all fractures. The low incidence may be due to its shape or position between muscle layers on...

J Bone Joint Surg Br. 1985 Nov;67(5):699-702. The assessment of lung function in children with scoliosis.Muirhead A, Conner AN. Abnormalities of lung function in 92 children with idiopathic or congenital scoliosis are described. The changes are restrictive in type with reduction in vital capacity and total lung capacity but normal residual...