36 results
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
• Colles (90% "dinner ... carpal tunnel syndrome ... injury) • ED Management ... reduction using finger ... XRay #Diagnosis #Management
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
Hoffmann's sign (finger ... flexion of the index finger ... Hoffmanns #sign #finger ... physicalexam #msk #orthopedics ... #neurology #sports
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Anterior Cord Syndrome ... injury, often from vascular ... • Central Cord Syndrome ... symptoms #msk #orthopedics ... #neurology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... injury • ED Management ... Disposition: Pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Wartenberg Sign in Ulnar Neuropathy

Abnormal abductor the fifth finger due to ulnar neuropathy ( weakness of
abductor the fifth finger ... #hand #pinky #finger ... #physicalexam #neurology ... #msk #sports #orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Complications • Avascular ... dislocation • ED Management ... follow-up with Orthopedics ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... • Weakness: Starts ... death Miller Fisher ... #diagnosis #management ... #treatment #neurology
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Well-localized, sharp, short ... well-localized, dull, longer ... regional pain syndrome ... Pain #Mechanisms #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... hours or longer/ ... cortical lesions • Vascular ... #diagnosis #management ... #neurology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... The longer the seizure ... #Management #Neurology