10 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
bones should be ... • Due to injury ... bones should be ... #Orthopedics #Sports ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
fracture, median nerve ... injury • ED ... #Wrist #Carpal ... #Orthopedics #Sports ... #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
rotated, extended arm ... injuries: Axillary nerve ... injury (40%, loss ... #Orthopedics #Sports ... #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Elbow extension → shoulder ... forearm supination → wrist ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Neuropathy Shoulder ... forearm supination → wrist ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
spared in this injury ... Carpal Tunnel Syndrome ... Dislocation - May ... Myotomes #diagnosis #neurology ... sensory #motor #arm
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... The evaluation should ... include a: • Neurologic ... audiometry • Patients should ... Noise trauma ○ MS
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Pathophysiology: • Severe injury ... Awareness • Injury ... threat Cranial Nerves ... #PhysicalExam #neurology
 The following #reflexes are routinely tested, and the response elicited is graded from zero to
and left side should ... The examiner should ... the side of a nerve ... or spinal root injury ... the supporting arm
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... extensors of the arms ... brain and/or optic nerve ... diagnosis #management #neurology ... #differential