Dr. Gerald Diaz @GeraldMD
51.4M 14.5K 7.6K
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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Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
Classification ... Stable fractures ... : Don't cause spinal ... deficit, still able ... #Spine #Classification
Back Pain - Differential Diagnosis
Primary Back Pathology:
 β€’ Musculoligamentous injury (a.k.a. lumbosacral strain)
 β€’ Spondylosis (i.e.
arthritis of the spine ... Spondylolisthesis β€’ Spinal ... , Pathologic fracture ... Differential #Diagnosis #causes ... #primarycare #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Differential Diagnosis by Classification ... Anaphylaxis - Spinal ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 β€’ Knee - L2, L3, L4
 β€’ Ankle - S1
saddle (perineal) anesthesia ... Commonly caused ... such as fibular fracture ... compression β€’ Spinal ... - Narrowing of spinal
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia ... or iatrogenic causes ... kit (eg 18G Luer spinal ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... until patient is stable ... Guidelines for crises ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
Guidelines for Crises ... ❷ Consider ONE final ... Guidelines for crises ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
in Anaesthesia ... arrest where other causes ... as patient is stable ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Orthopedic Emergencies
Compartment Syndrome
 β€’ An increase in compartment pressure to the point where tissue perfusion is
Syndrome β€’ Syndrome caused ... after long bone fractures ... fibula) and hip fractures ... stabilization of long bone fractures ... progresses to anaesthesia
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Low #Magnesium #Table ... #Classification ... #Causes #Workup