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Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
Scissors - Ulnar ... Nerve OK Sign ... drsarahedwards #Diagnosis ... #PhysicalExam # ... Mnemonic #Upper #Arm
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Assessment of Nerve ... Small muscles of hand ... adduction) OK Sign ... - AIN (Anterior ... UpperExtremities #diagnosis
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
onto outstretched hand ... posterior interosseous nerve ... ), compartment syndrome ... : Pain control ... Posterior long arm
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
- Pain along ulnar ... – compartment syndrome ... Management: - ... Overlying wounds or signs ... #Metacarpal #Diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Abduction - C8-T1 (ulnar ... " ± Horner Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm ... #physicalexam
Tinel's Test of the Ulnar Nerve

Perform a Tinel's at the cubital tunnel by percussing the ulnar
to recreate pain ... , numbness, and ... #Tinels #Test #Sign ... #Ulnar #Nerve # ... elbow #PhysicalExam
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... onto outstretched hand ... : Pain control ... Posterior long arm ... Radiology #XRay #Diagnosis
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... • Iliotibial band ... Hair loss- feet and ... #differential #diagnosis ... extremity #msk #physicalexam
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... Complications are ... "pooping duck sign ... , pain with wrist ... Radiology #XRay #Diagnosis
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Can begin in arms ... Absent Reflexes: Arms ... or feet • Pain ... Guillain-Barre Diagnosis ... #diagnosis #management