Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Orthopedic Dislocations (Shoulder, Elbow and Hip) - Diagnosis and Management Summary
Shoulder Dislocation
 • Fall on the
and Management ... with rotation • Posterior ... elbow fully as a test ... Hip Dislocation ... Affected hip and
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
fracture • ED Management ... reduction; Complex ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... reduction • Splint ... IPJoint #Radiology #XRay ... #Diagnosis #Management ... #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... ), compartment syndrome ... • If stable reduction ... Ulnar #Radiology #XRay ... Orthopedics #Proximal #MSK
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
ED arrival MSK ... - Fractures, dislocations ... (posterior shoulder ... compartment syndrome ... #Emergency #Algorithm
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Posterior Knee Dislocation ... POSTERIOR DISLOCATION ... nerve injury (25%) TEST ... Check hip and ankle ... #msk #clinical
Ober's Test for TFL/ITB Inflammation

With the patient in the lateral position, affected side up.  The
adduction) until ... #Iliotibial #Band ... #Syndrome #ITBand ... #knee #clinical ... physicalexam #sports #msk
Penicillin Allergy Pathway for Antibiotic Prescription in Patients With Penicillin Allergy
Mild Reaction - Itching, Minor rash
cephalosporin by Test ... carbapenems by Test ... there is a strong clinical ... #Prescription #algorithm ... #management
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... transplantation CLINICAL ... albuminocytologic dissociation ... sensitive tests ... #diagnosis #management