19 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
tender DIP joint ... #Radiology #XRay ... #Diagnosis #Management ... #Hand #Orthopedics ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... joint hinge joint ... joint = hinge joint ... #XRay #Diagnosis ... #Orthopedics #MSK
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- J point STE > ... deWinter T waves - starts ... upsloping ST dep and ... #EKG #diagnosis ... electrocardiogram #cardiology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... interphalangeal joint ... with joint-space ... ON THE X-RAY! ... #diagnosis #msk
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... segment at (or 40-60 ms ... • De Winter syndrome ... #EKG #diagnosis ... #differential #cardiology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
approximately an extended hand ... joint. ... injection lasts longer ... Injection #clinical #video ... #msk #orthopedics
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
interphalangeal joint ... flexion at this joint ... to flex at the DIP ... #Hand #PhysicalExam ... #sports #msk #orthopedics
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
-60 minutes or longer ... alterations (e.g ... ., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Elson's Test - Extensor Digitorum Finger Examination

Elson's test evaluates for partial or complete tear of the
Extensor Digitorum Finger ... interphalangeal joint ... extend at the PIP ... #clinical #video ... #sports #msk #orthopedics
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
small boxes) - HiPR ... - Short QT <300 ... -360 ms: ↑ca - ... #EKG #diagnosis ... electrocardiogram #cardiology