19 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
ED arrival MSK ... - Fractures, dislocations ... compartment syndrome ... may be severe and ... Evaluation #Diagnosis #Management
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... no light-near dissociation ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... onto outstretched hand ... ), compartment syndrome ... , ligamentous injury ... Orthopedics #Proximal #MSK
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Fasciculus (MLF) Iniury ... • One-and-a-half ... Syndrome • Cavernous ... #Localization #ophthalmology ... #neurology #differential
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Knee Effusions - Differential ... bearing after injury ... fracture - Patellar dislocation ... #diagnosis #msk ... #physicalexam
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
i.e., light-near dissociation ... inflammation, and ... #Adies #Pupil #PhysicalExam ... clinical #video #ophthalmology ... #neurology #syndrome
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Management Summary ... Rhabdomyolysis #Differential ... #Diagnosis #Management ... causes #treatment #nephrology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... Compartment syndrome ... consider compartment syndrome ... #msk #clinical
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
" ± Horner Syndrome ... spared in this injury ... Anterior Shoulder Dislocation ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Repetitive strain injury ... Trauma • Crush injury ... lower #extremity #msk ... #physicalexam