Medial Thigh Muscles Anatomy By @rev.med #Medial #Thigh #Muscles #Anatomy #MSK #orthopedics

Hand Arthritides - Differential Diagnosis by Location and Features The Painful Hand! Wish I would’ve thought of making this prior to my first MSK rotation. Super helpful for keeping the various arthritides straight. Cynthia Czawlytko, MD @drcyncity #Hand #Arthritides #Arthritis #Differential #Diagnosis #Location #MSK #Radiology #Map

Knee Examination Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift, Apley compression (meniscal integrity) and McMurray (meniscal integrity) tests. #Diagnosis #Sports #Knee #PhysicalExam #Lachman #Apley #McMurray #Drawer #Test #msk

Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a clinical emergency: permanent organ dysfunction and death can result. Treatment depends on the aetiology. Distinguish early between: • Excessive heating (most common) • Inadequate dissipation of metabolic heat • Excessive heat production • Actively maintained fever CAUSES OF HYPERTHERMIA COMMON • Excessive insulation, high ambient temperature, external warming devices, especially infants and children (most common) • Surgical devices, e.g. HIFU, diathermy, radiotherapy • Prolonged epidural anaesthesia • Sepsis (→ 3-14) e.g. during manipulation of a urological device • Blood transfusion • Allergic reaction / anaphylaxis (→ 3-1) Drug induced: • Neuroleptic malignant syndrome (e.g. haloperidol and other antipsychotics) • Malignant hyperthermia crisis (late sign) (→ 3-8) • Serotonin syndrome (cocaine, amphetamine, phencyclidine, MDMA) • Anticholinergic syndrome (tricyclic antidepressants, antipsychotics, antihistamines) • Sympathomimetic syndrome (cocaine, MDMA, amphetamines) Toxic: • Radiologic contrast neurotoxicity • Alcohol withdrawal Endocrine: • Thyrotoxicosis • Phaeochromocytoma Neurologic: • Meningitis • Intracranial blood • Hypoxic encephalopathy • Traumatic brain injury By Association of Anaesthetists @ https://twitter.com/AAGBI Quick Reference Handbook - Guidelines for crises in anaesthesia #Perioperative #Hyperthermia #Differential #Causes #Anesthesiology #Anesthesia #Checklist #Diagnosis #Management #Workup

Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable. Ability to safely deliver and maintain anaesthesia is immediately compromised. ❶ Call for help – extra staff to monitor patient and source additional equipment. ❷ Liaise with local coordinator to activate appropriate local plan (Box A): • If immediate evacuation necessary → 4-3 ❸ Get additional light into theatre (Box B). ❹ Ensure ventilation continues: • Manual ventilation if required. • Consider moving to spontaneous ventilation. • Maintain anaesthesia. ❺ Check the pulse and blood pressure manually if monitors have failed. ❻ Check mains oxygen supply intact. If failed → 4-1 ❼ Unplug unnecessary equipment. Use correct socket for essential equipment (Box C). ❽ Assess reliability of power supply, duration of surgery and patient condition: • Consider stopping surgery immediately. • Consider continuing surgery until patient is stable and wound is closed (may be temporary closure). • Consider evacuation to theatre with intact mains supply → 4-3 ❾ Prepare recovery facilities. Consider theatres, recovery, ICU. By Association of Anaesthetists @ https://twitter.com/AAGBI Quick Reference Handbook - Guidelines for crises in anaesthesia #PowerSupply #Electricity #Failure #Anesthesiology #Anesthesia #Intraoperative #Checklist #Diagnosis #Management #Workup