124 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
caused by disruption ... fracture • ED Management ... Discharge with orthpedic ... XRay #Diagnosis #Management ... #Hand #Orthopedics
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
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... 1) Finger agnosia ... name their own fingers ... able to copy Causes ... : Stroke (main cause
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
Rotator Cuff Syndrome ... Causes: Calcific ... Rotator #Cuff #Syndrome ... #orthopedics #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, C8 (radial) Finger ... Supinator - C5, C6 • Finger ... Erb's Palsy is caused ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
tendon), mallet finger ... tendon) • ED Management ... Discharge with orthopedic ... XRay #Diagnosis #Management ... #Hand #Orthopedics
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Wide (1) VT - DANGER ... B Afib + WPW - DANGER ... Vfib/flutter - DANGER ... (2) Sick Sinus Syndrome ... pause 2º - Mobitz
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... , Orbital apex syndrome ... tumor, Miller-Fisher ... syndrome, Multiple
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
), compartment syndrome ... DC with orthopedic ... • Nonoperative managernent ... XRay #Diagnosis #Management ... #Orthopedics #Proximal
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