10 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
in the lunate ("tea ... fracture, median nerve ... injury • ED ... Radiology #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... • Due to injury ... onto outstretched hand ... • ED Management ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... anterior interosseous nerve ... artery injury ... Radiology #XRay #Diagnosis ... #Sports #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
injuries: Axillary nerve ... injury (40%, loss ... neurovascular injury ... Radiology #XRay #Diagnosis ... #Sports #MSK
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
cases/100,000 per year ... Paresthesias: Hands ... Diagnosis: • ... Albuminocytologic dissociation ... #management #treatment
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
posterior interosseous nerve ... syndrome, ligamentous injury ... (LCL) • ED Management ... Radiology #XRay #Diagnosis ... #Proximal #MSK
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
per 100,000 per year ... complete paralysis of all ... albuminocytologic dissociation ... sensitive tests ... #management #neurology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Common peroneal nerve ... injury (25%) TEST ... -->>>> LINK TO ACL ... TEARS. ... #msk #clinical
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Awareness • Injury ... threat Cranial Nerves ... stimulation to all ... If ok with ICU team
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... bouts of HTN Diagnostic ... negative, MOG-IgG test ... /or optic nerve ... #management #neurology