Common Wrist & Forearm Fractures Radius Overview Colles Distal Radius Fracture Barton Distal Radius Fracture Smith Distal Radius Fracture (a.k.a. reverse Colles) Both Bones Overview Galeazzi Fracture+Dislocation Essex Lopresti Fracture+Dislocation Radial Head Fracture Radial Neck Fracture Monteggia (“Nightstick”) Fracture+Dislocation Ulna Ulna Styloid Olecranon Fracture Common Hand Fractures Carpal Bones Scaphoid Fracture Trapezium Fracture Perilunate Fracture+Dislocation Metacarpal Bones Bennet Fracture – Thumb Pseudo-Bennet Fracture+Dislocation – Thumb Rolando Fracture Boxer’s Fracture – 4th and 5th …

Can’t Miss Diagnoses Septic Arthritis Trauma Also, assess overlying soft tissues for infections which can also be very life-threatening (e.g. Necrotizing Fasciitis). Open Joint Prosthetic Joint Infection MIMICS Gout Rheumatoid arthritis Osteoarthritis Hemarthrosis Dislocations DDx for Monoarticular Arthritis O – OsteoarthritisS – Septic arthritisT – Tumor in nearby bone / TraumaR – Rheumatic & autoimmune diseaseI – Intra-articular pathologyC – Crystal arthropathy (Gout, pseudogout)H – Hemarthrosis More details here! DDx for Prosthetic Joint …

Can’t Miss Diagnoses Necrotizing Fasciitis Toxic Shock Syndrome Venous Thromboembolism (e.g. DVT) Peripheral Arterial Occlusion Abscess Tendon Rupture Cellulitis Burns (including chemical) Common Diagnoses: Sprains Strains Neuropathies IF CONSIDERING NEC. FASC. PLEASE USE PROPER PPE AND NOTIFY SURGICAL TEAMS EARLY. TIME IS TISSUE. Points to focus upon Hx To note and document; Tetanus status, anticoagulation, surgical manipulation if any.Ask about recent intercurrent febrile illnesses.May have “pain out of proportion” or localized hypoesthesia. Px: …

Can’t Miss Diagnoses Unstable vertebral fracture Cord compression causing Cauda Equina Syndrome CES: Epidural abscess, hematoma Spinal Abscesses Discitis Killer Mimics: Vascular Aortic dissection, Ruptured aortic aneurysm Renal Pyelonephritis, renal colic Pneumonia Pelvic conditions Prostatitis, PID Red Flags of Back Pain Important to assess in DM, History of malignancy, anti-coagulation, osteoporosis, IVDU, steroid and immunocompromised states, and associated alarm symptoms like fever, syncope (aortic dissection). Here is a nifty mnemonic that may be …