H&P Flashcards
30M found laying on arm.
What is your initial step?
20F with leg pain running?
What is your initial step.
Replant Hx
Flexor Hx
Leddy Classification
Hand fracture, Hx and PE
Hand Infection Hx PE
Hand infection
What is the differential of a wound?
OR principles
Injection Injury
Hand Tumors
OA Hx
RA hx
Hypothenar hammer hx
Wrist Hx
Wrist Exam
Both wrists
Wrist Xray
BOTH: AP, lat, Oblique, Scapoid.
PA:
- G’s lines - 2mm,
- Ulnar Var - 2mm,
- Rad Inc - 23o,
- Other: Sig Rig (S tubercle),
Lat:
- Quality: Colinear 3mc, Cap, R, & Pisi volar b/t S&C
- SL(47, 30-60 >60SL DISI, <30 VISI),
- CL & RL (15),
- Radius Volar INC 12.
45o: TM/Td, Tq.
Other: Clenched: TT, CT View, Stress - dynamic
MRI: Arthrogram: communication b/t DRUJ and MC.
Angio for Vascularity of S
You suspect a SL tear what do you look for on exam and XR?
You have a chronic SL tear how do you manage, what do you look for?
What are the stages of SLAC and tx?
What is the diagnosis and treatment of Ltq ligment injury?
Brachial Plexus PE
Do a gross exam of the nerve roots.
Differential for BP injury.
Brachial Plex Hx/ PE
Brachial plex Inv
What are the postures of a Erb, Erb+, Klumpe palsy & what is lost.
Obstetrical BPI Hx
Compression neuropathy Hx
Chest reconstruction Hx, Pe
What are the options for chest wall Soft tissue recon?
What are the options for rigid chest wall recon?
Abdo Recon Hx
How would you assess an eye lid?
How do you examine for ptosis?
What is Hering’s test - what does it test?
What is the ptosis algorthim?
LPS is equally intervated, severe ptosis on one side creates strong retraction force on both sides. Alleviate ptosisi with q-tip while immob brow.
Lower extremity trauma
TETANUS/ ABX/ SMOKING/ RADS
Nasal reconstruction hx pe
Local nasal flaps. What is the maximum size?
What is the blood supply of the Dorsal nasal miter flap?
What are the options for nasal lining?
- Ipsilateral caudal septal muco-pericondrial hinge flap - Septal br of sup lab art - Ips ala and tip
- Contralateral dorsal septal mucopericondrial hinge - Ant/Post ethmoid art - CL wall/nasal roof
- Biped Mucosa advancement + sg donor
- Inferior turbinate Mucoperiosteal hinge flap - alar lining
- Composite septial chondromucosal pivot
Other
Infolded NL, forehead
Tunnelled turnover NL, Buccal