13 results
Bicep muscle injury - Yergason Test - 1. Position patient's elbow at 90 degrees with thumb
injury - Yergason Test ... Position patient's elbow ... patient supinate and flex ... wrist) #Diagnosis #Ortho ... #ALiEM
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
capitellum (age 1), radial ... ), compartment syndrome ... • ED Management ... Posterior long arm • Ortho ... Type l, DC with ortho
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
Inverted Supinator Test ... normally elicits elbow ... (supinator) reflex ... Inverted #Supinator #Test ... #Reflex #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... blinks to threat Cranial ... flexed at the elbow ... #PhysicalExam #neurology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ulnar shaft with radial ... and missing the radial ... Exam: swollen elbow ... ), compartment syndrome ... I or Ill) • Ortho
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... , T1 (median) Reflexes ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology
Labral tear - O'Brien Test - 1. Position patient's shoulder in 90 degree flexion, elbow extended,
tear - O'Brien Test ... degree flexion, elbow ... degrees adducted (medial ... up) #Diagnosis #Ortho ... #OBrien #ALiEM
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
• Provocative Tests ... bulbocavernosus reflex ... absent anal wink test ... MRI- Sagittal, axial ... diagnosis #causes #neurology
Orthopedic Dislocations (Shoulder, Elbow and Hip) - Diagnosis and Management Summary
Shoulder Dislocation
 • Fall on the
Diagnosis and Management ... of arm M – Medial ... fully as a test ... Bigelow method: FLEX ... Hip #Diagnosis #Management
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... all extremity, facial ... Decreased / Absent Reflexes ... #diagnosis #management ... #treatment #neurology