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orthopedics radiology xray barre carpal guillain posterior syndrome anterior clinical comatose differential dissociation elbow forearm fracture gbs guillainbarre knee monteggia
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
anterior interosseous nerve ... ), ligamentous injury ... 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
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
onto outstretched hand ... posterior interosseous nerve ... syndrome, ligamentous injury ... (LCL) • ED Management ... #Proximal #MSK
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... injury (25%) TEST ... -->>>> LINK TO ACL ... TEARS. ... #msk #clinical
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 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 ... • Weakness: Starts ... Albuminocytologic dissociation ... #management #treatment ... #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Awareness • Injury ... threat Cranial Nerves ... If ok with ICU team ... #PhysicalExam #neurology
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
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
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