-
Appendicitis maneuvers
- Rovsing: LLQ
- Psoas: hip extention
- Obturator: internal rotation
-
Stess fracture
- Repetitive insults such as sports leading to complete fracture
- Most common is of metatarsals
- Nothing on xray, so CT or MRI
- Tx is rehab, dec activity, casting, surgery
-
Compression fracture site
- 1/3 thoracic
- 1/3 thoracolumbar
- 1/3 lumbar
-
Shoulder dislocation presentation, tests
- Anterior: side a externally rotated forearm
- Posterior: medially rotated and held to the side
- initial- xray, most accurate - MRI
-
Scaphoid fracture test and tx
- Xray wont change for 3 weeks
- Thumb spica cast
-
Trigger finger tx
- Steroid injections
- surgery
-
Dupuytren contracture
- Men over 40
- constricted palmar fascia
- Surgery
-
Fat embolism presentation, tests, tx
- Confusion, petechial rash, SOB
- PO2 <60, infiltrates on CXR, fat droplets in urine
- O2 and intubate if neccessary
-
Signs of knee injuries
- Ant drawer sign for ACL
- Posterior drawer from PCL
- Pop with flex and extend for meniscal
-
Unhappy triad
- ACL
- medial collateral ligament
- meniscus
-
Postop fevers
- POD 1-2: Atelectasis or PNA. Tx with vanc and tazobactam-piperacillin
- POD 3-5: UTI
- POD 5-7: DVT, thrombophlebitis
- POD 7: Wound infection, cellulitis
- POD 8-15: Drug fever or deep abscess
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