Shenton's Pearls

Question 1

Ortho Pearls

Answer 1

Know your anatomy
Trust No-one: always check out injury
Examine opposite limb 1st
Examine joints above & below
X-ray joints above & below
X-ray opposite side if unsure
Reading imaging: look elsewhere 1st
Everything takes 6 weeks to heal
Recovery proportional to longevity of problem/complaint
Stupid should hurt

Question 2

Li-Fraumeni Syndrome

Answer 2

Rare cancer predisposition hereditary disorder characterized as autosomal trait

Question 3

General Medicine Pearls

Answer 3

Best diagnostic tools: brain & H&P
Do not ignore the “elephant in the room”
Do not ignore your gut
When in doubt- ask
Learn from clinical cases (look up info ASAP)
Checklists
Do not hold on to the doorknob
Do not chew gum, have change/keys in pocket
Help your patient establish reasonable expectations
Keep the passion
Have fun: learn interesting fact about each patient
Wishful thinking doesn’t work
It’s the patient’s disease
Check your pulse 1st
“An ahole with a spinal cord injury is still an ahole”
Get a life

Question 4

How to keep the passion for medicine?

Answer 4

Reading
Teaching
Sharing with colleagues
Learning

Question 5

How to get a life?

Answer 5

Take care of yourself
Nurture other interests
Serve your community