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management orthopedics radiology xray differential physicalexam arm causes clinical comatose dermatomes dissociation extremity fracture gait hearing knee loss motor myelitis
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... onto outstretched hand ... #Scaphoid #Carpal ... #Orthopedics #Sports ... #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
fracture (scaphoid ... fracture, median nerve ... injury • ED ... #Wrist #Carpal ... #MSK
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... #Fracture #Wrist ... #XRay #Diagnosis ... #Orthopedics #Sports ... #MSK
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
aracteristic "claw hand ... spared in this injury ... Carpal Tunnel Syndrome ... Anterior Shoulder Dislocation ... #neurology #sensory
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... • Neurologic ... Noise trauma ○ MS ... #Differential #Diagnosis
Trendelenburg Gait: Pathogenesis and clinical findings Skeletal Pathology of the Hip • Arthritis • Congenital hip dysplasia
Chondrodysplasia Neurologic ... Superior gluteal nerve ... Trauma • Strains/ tears ... Fracture • Hip dislocation ... #msk
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... injury (25%) TEST ... >> LINK TO ACL TEARS ... #msk #clinical
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 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
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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