9 results
Apley Compression Test on Knee Examination

With the patient prone, the knee being tested is flexed to
Pain is indicative ... of meniscal injury ... #meniscus #Knee ... #PhysicalExam # ... #orthopedics #msk
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
stenosis/nerve compression ... Herpes zoster - HIV ... Repetitive strain injury ... Trauma • Crush injury ... #msk #physicalexam
Apley Compression Test on Knee Exam

Patient is prone with leg flexed 90 degrees.
Tibia is rotated medially
Pain with compression ... suggests meniscal ... injury. ... #Test #Knee #PhysicalExam ... clinical #video #msk
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Causes of Knee Effusions ... Fever/Chills/Joint pain ... Ligamentous injuries - Meniscal ... differential #diagnosis #msk ... #physicalexam
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Reflexes: • Knee ... • Cauda Equina Syndrome ... - Low back pain ... Commonly caused ... fracture or prolonged compression
Apley Distraction Test on Knee Examination

With the patient prone, the knee being tested is flexed to
Pain is indicative ... injury (seen with ... compression test ... #PhysicalExam # ... #orthopedics #msk
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
below the site of injury ... continence • Pain ... Spinal Cord Causes ... MCTD, Sjogren syndrome ... , lower extremity
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... Check hip and ankle ... special ligament/meniscus ... -->>>> LINK TO ACL ... #msk #clinical
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... Awareness • Injury ... • Vestibulo-ocular ... Possible responses to pain ... caseyalbin #PhysicalExam