31 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... #Wrist #Carpal ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
trapezium, capitate, triquetrum ... injury • ED Management ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Sensory Motor Reflex ... Flexion Biceps Reflex ... C6 Dorsal Thumb Wrist ... #differential #diagnosis ... #Neurology #Spine
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Arms extended; wrists ... from the body; wrists ... #PhysicalExam #neurology ... #comatose #diagnosis
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
elbow flexion, wrist ... radial (supinator) reflex ... Supinator #Test #Reflex ... #neurology #clinical ... orthopedics #msk #sports
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... #TerryThomas #Wrist ... #Management #Orthopedics ... #Sports #MSK
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Prognostication based on scores ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... , T1 (median) Reflexes ... Horner Syndrome Wrist ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... #Management #Neurology ... #CriticalCare #
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED Management ... Scaphoid #Fracture #Wrist ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK