64 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... change • Neurologic ... • Short-lived, positional ... differential #diagnosis #neurology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
spacing between all carpal ... bones should be ... bones should be ... follow-up with orthopedics ... Diagnosis #Management #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate ("apple") should ... tea cup") which should ... associated injuries: Carpal ... Disposition: Pending orthopedic ... Dislocation #Wrist #Carpal
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
The proximal carpal ... ECRB) The distal carpal ... returns to its usual position ... Instability #Wrist #msk #orthopedics
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for Treatment ... into a supine position ... remains in this position ... rolls onto his/her shoulder ... #vertigo #neurology
Hippocratic Shoulder Reduction 
Shoulder reduction is the process of returning the shoulder to its normal position
Hippocratic Shoulder ... Reduction Shoulder ... to its normal position ... following a shoulder ... PhysicalExam #Procedure #Orthopedics
Oppositional Grasp Weakness in Carpal Tunnel Syndrome

Dysfunction of the six- Opposition weakness-in carpal tunnel syndrome with
Oppositional Grasp ... Weakness in Carpal ... Weakness #Hand #Carpal ... #physicaleaxm #neurology ... #orthopedics #msk
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Motor Function Shoulder ... "waiter's tip" position ... Carpal Tunnel Syndrome ... Anterior Shoulder ... Myotomes #diagnosis #neurology
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Innervation of Muscles Shoulder ... Axillary Nerve Shoulder ... MuscleGroups #MSK #Orthopedics ... #Neurology #Diagnosis
Phimosis 
Inability to retract the foreskin - Can be normal up to 3 years old -
after age 4 Treatment ... back to anatomic position ... Comparison #Diagnosis #Urology