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management msk orthopedics radiology clinical differential wrist xray neurology sports fast fracture pocus positive signs symptoms trauma comparison druginduced hemorrhage
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... in semicircular canal ... test (posterior canal ... test (horizontal canal ... #differential #diagnosis
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
commonly fractured carpal ... • Most common carpal ... • Both lead to carpal ... outstretched hand • Exam ... Fracture #Wrist #Carpal
Atrioventricular Septal Defect aka AV canal defect aka endocardial cushion defect • Epidemiology and Associations • Embryology
Defect aka AV canal ... Classification • Physical Exam ... Outcomes by Cara ... endocardial #cushion #diagnosis
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
spacing between all carpal ... Thomas" sign to diagnosis ... spacing between all carpal ... outstretched hand • Exam ... Wrist #Scaphoid #Carpal
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
commonly fractured carpal ... Second most common carpal ... of the hand • Exam ... Fracture #Wrist #Carpal ... Radiology #XRay #Diagnosis
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
meds, Consider diagnostic ... performed, may show melanosis ... : • Consider diagnostic ... EGD +/- ERCP +/- colonoscopy ... Abdominal imaging (CT, ultrasound
Positive FAST exam at the caudal liver edge Ultrasound isn't as sensitive for solid organ injury, but
Positive FAST exam ... at the caudal liver ... Caudal Edge of the ... Fluid on the FAST Exam ... #POCUS #liver #caudal
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 Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
outstretched hand • Exam ... associated injuries: Carpal ... Dislocation #Wrist #Carpal ... Radiology #XRay #Diagnosis
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
classic posterior canal ... in horizontal canal ... nose) • Head Position ... worsen with head position ... Central #Vertigo #diagnosis
Median Nerve Anatomy and Function The Median nerve is the nerve of pre-axial hand function; pinch, delicate
it is not all carpal ... • Carpal tunnel ... similar sensory exam ... to carpal tunnel ... Nerve #Anatomy #diagnosis
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