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Emergency Medicine > UE Surgery > Flashcards

UE Surgery Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

SALTR classifications:

A

1: slipped/separation
2: above
3: lower
4: through (vertical)
5: rammed/ruined

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2
Q

3 tx options for fx

A

splint
cast
surgery (CRPPF, ORIF, External Fixation)

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3
Q

2 major factors of osteomyelitis in open fx…

A

quality of debridement

prophylactic abx

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4
Q

MC site of open fx

A

tibia

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5
Q

MC abx for open fx

A

IV cephazolin

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6
Q

scapula fx is a result of ______ mechanism

A

high energy

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7
Q

scapula fx is commonly associated with…

A

other trauma

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8
Q

2 views for scapula fx eval

A

AP

trans-scapular Y view

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9
Q

how long for scapular fx recovery?

A

6 mo to 1 year

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10
Q

wrist drop in presence of proximal humerus fx indicates…

A

radial nerve injury

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11
Q

a “floating elbow” with proximal humerus fx indicates…

A

forearm fx

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12
Q

in a humeral shaft fx, what is critical to prevent frozen shoulder?

A

early motion

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13
Q

positive sulcus sign, apprehension and relocation tests indicate…

A

GH dislocation

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14
Q

95% of GH dislocations are in which direction?

A

anterior

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15
Q

which radiographic view is best for posterior dislocations?

A

axillary

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16
Q

after immediate reduction, how long swing/swathe for GH dislocation?

A

2-4 weeks

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17
Q

detachment of the anterior inferior labrum from the glenoid rim…

A

bankart lesion

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18
Q

cortical depression of posterolateral humeral head after impact by anterior glenoid rim

A

hills sachs lesion

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19
Q

decreased sensation on lateral aspect of shoulder and decreased deltoid fxn indicates…

A

axillary nerve injury

20
Q

diagnostic for elbow sublux/dislocation

A

plain radiograph

21
Q

what can be found on CT scan in an elbow dislocation?

A

medial condyle fx

22
Q

2 views for forearm fx

A

AP, lateral

23
Q

this is an ulnar shaft fx with dislocation of the radial head…

A

monteggia fx

24
Q

with “isolated” ulnar shaft fx, what must be ruled out?

A

monteggia fx

25
Q

nondisplaced forearm fx tx

A

splint/casting x 6-8 weeks

return to activity 4-6 mo

26
Q

tx for displaced forearm fx

A

Emergent Reduction + ORIF

27
Q

which wrist fx?

dorsal displacement, dinner fork deformity

A

colle’s fx

28
Q

which wrist fx?

volar displacement of the hand

A

smith’s fx

29
Q

views for wrist fx

A

ap, lateral, oblique

30
Q

tx for wrist fx…

A

splinting/casting 4-6 weeks

or surgery

31
Q

this is a distal radial fx with disruption of DRUJ/TFCC

A

galeazzi fx

32
Q

this is the MC carpal bone fx…

A

scaphoid fx

33
Q

PE sign for scaphoid fx

A

TTP anatomic snuffbox

34
Q

X-Ray views for scaphoid fx

A

AP, lat, scaphoid

repeat 10-14 days if negative

35
Q

tx for scaphoid fx

A

thumb spica cast

36
Q

complication of scaphoid fx…

A

avascular necrosis of proximal aspect

37
Q

finger fx imaging

A

ap, lateral, oblique x ray

38
Q

what is more common type of IP dislocation?

A

dorsal

39
Q

MC finger for jersey finger

A

ring finger

40
Q

inability to flex DOP joint with pain over volar aspect…

A

jersey finger/flexor tendon rupture

41
Q

Rupture of the extensor tendon of DIP

inability to extend DIP

A

mallet finger

42
Q

Tx for mallet finger

A

STAX extension splint x 6-8 weeks

43
Q

tx of boxer’s fx

A

ulnar gutter splint, then cast 3-6 weeks

44
Q

fx to the base of 1st MC with extension into the joint…

A

bennett’s fx

45
Q

injury to MCP joint

ulnar collateral ligament tear and instability of MCP

A

game keeper’s thumb/skier’s thumb

46
Q

tx for game keeper’s thumb

A

thumb spica splint then cast

Emergency Medicine (12 decks)

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