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differential management orthopedics radiology carpal rheumatology approach arthritis colles comatose dislocation dissociation distal forearm fracture joint lfcn meralgiaparesthetica myelitis pain
Meralgia paresthetica: Pathogenesis and Clinical Findings Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica •
Findings Compression/injury ... Straight Leg Raise Test ... lateral inguinal ligament ... MeralgiaParesthetica #MSK ... #signs #symptoms
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... fracture, median nerve ... injury • ED ... #Orthopedics #Sports ... #MSK
Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •
onto outstretched hand ... variable gross wrist ... fracture, median nerve ... reduction using finger ... #Orthopedics #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... onto outstretched hand ... Carpal #Radiology #XRay ... #Orthopedics #Sports ... #MSK
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Tendon • Ligament ... visceral organ or nerve ... root Symptoms ... e.g., meniscal tears ... #Joint #Pain #MSK
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... threat Cranial Nerves ... • Examine for signs ... If ok with ICU team ... #PhysicalExam #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... • Bilateral signs ... and/or symptoms ... /or optic nerve ... #management #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Presentation: Systemic Symptoms ... purpura: Strong sign ... affects the skin, neurologic ... muscle weakness • Nerves ... • Progressive symptoms
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