Dr. Gerald Diaz @GeraldMD
30.8M 13.9K 7.3K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Scapholunate Dissociation ... "Terry Thomas" sign ... β€’ Due to injury ... ("Terry Thomas sign ... Orthopedics #Sports #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Anterior Shoulder Dislocation ... 95% of shoulder dislocations ... Axillary nerve injury ... neurovascular injury ... Orthopedics #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow Dislocation ... can't make A-OK sign ... ), ligamentous injury ... brachial artery injury ... Orthopedics #Sports #MSK
Winged Scapula on Physical Exam

Caused by injury to the long thoracic nerve

#Winged #Scapula #PhysicalExam #clinical #video
Exam Caused by injury ... clinical #video #neurology ... #msk
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Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
- Light-near dissociation ... retraction (Collier's sign ... β†’ "setting sun sign ... diagnosis #pineal #neurology
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
of Electrical Injury ... coma, spinal cord injury ... ED arrival MSK ... - Fractures, dislocations ... #Electrical #Injury
Oppenheim's Sign on Physical Exam

There are some alternative maneuvers to search for the classic Babinski sign,
Oppenheim's Sign ... classic Babinski sign ... indicator of pyramidal injury ... the Oppenheim Sign ... #Reflex #Neurology
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Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Lelli's Test (Lever Sign ... ) for ACL Injury ... #Test #Lever #Sign ... #ACL #Injury #acl ... physicalexam #sports #msk
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Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Interphalangeal Joint Dislocation ... Interphalangeal joint dislocations ... involved and the dislocation ... Hyperextension injury ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Perilunate Dislocation ... In perilunate dislocation ... summary: β€’ Dorsal dislocation ... , median nerve injury ... Orthopedics #Sports #MSK