21 results
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Bone/Joint Causes ... Hematoma Venous Causes ... stenosis/nerve compression ... lower #extremity #msk ... #physicalexam
Hypotension in Anesthesiology - Differential Diagnosis and Management 

Initial checklist: 
 - Verify BP (e.g. surgeon
Hypotension in Anesthesiology ... - Check other vital ... Inform surgeon (ask ... loss / venous compression ... #Hypotensive #Anesthesiology
Apley Compression Test on Knee Examination

With the patient prone, the knee being tested is flexed to
Apley Compression ... while the other leg ... force on the leg ... meniscus #Knee #PhysicalExam ... #orthopedics #msk
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
100% oxygen AND check ... ❷ Airway • Check ... • Check airway ... (eg steroid dependency ... #Differential #Anesthesiology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and bilateral leg ... Commonly caused ... fracture or prolonged compression ... sensory #motor #leg ... #physicalexam
Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
hand drop due to compression ... sleeping as in this case ... , due to compression ... #Nerve #Palsy #PhysicalExam ... #orthopedics #msk
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Guidelines for Crises ... Consider known drug causes ... (eg. remifentanil ... Guidelines for crises ... #Bradycardia #Anesthesiology
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
Guidelines for Crises ... • Elevate the legs ... relieve aorto-caval compression ... Consider other causes ... Neuraxial #Block #Anesthesiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... Check serial lactates ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology
Apley Compression Test on Knee Exam

Patient is prone with leg flexed 90 degrees.
Tibia is rotated medially
Apley Compression ... is prone with leg ... Pain with compression ... #Test #Knee #PhysicalExam ... clinical #video #msk