25 results
Reduction of Anterior Shoulder Dislocation

This young man presented to the ER with a Shoulder Dislocation. He
was in so much pain ... Interscalene Nerve Block ... Dislocation #Anterior #clinical ... #physicalexam #msk
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... intolerance • Chest pain ... Dysrhythmia, heart block ... cardiac death Management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... Findings: - AV ... block, Aberrancy ... Myocarditis #diagnosis #management
Optic Neuritis - Diagnosis and Management
 • Epidemiology: Female (75%), 18-50 years,
caucasian
 • Symptoms: Moderate visual
Diagnosis and Management ... Moderate orbital pain ... Variable pattern of VF ... - Typical MS-like ... Neuritis #Diagnosis #Management
Lyme Disease - Diagnosis and Management Summary

Lyme Disease Epidemiology:
- Spirochete
- Reservoir: small mammals & birds
- Transmitted
Diagnosis and Management ... Lyme Disease Clinical ... Vision changes - Pain ... Carditis: - AV ... Joint swelling/pain
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Fracture - ED Management ... coverage) • ED Management ... : Pain control, ... using hematoma block ... #Orthopedics #MSK
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
movement Typical management ... Serratus plane block ... Pt pain free X 36 ... Trauma #Video #Clinical
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... fracture • ED Management ... : Pain control, ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Eye/Temple • Pain ... quickly, deep pain ... Vertebral Dissection, AV ... Amy Chung, MD, MSc ... primary #secondary #management
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... the duodenum Clinical ... Bleeding, abdominal pain ... Management: SURGERY ... Fistula #Diagnosis #Management