If you've been following along with parts 1 and 2, then part 3 is the next logical step- because, um, counting? Let's look at laboratory studies in osteo. It may come as no surprise that the initial labs that end up being most helpful are [...]
Welcome back to the Osteo series - Whereas part one focused mainly on etiology, part 2 delves into making the diagnosis with a good history and physical. I should really say that your history and physical helps increase your index of suspicion - since osteo [...]
Thus begins the PEMBlog series on Osteomyelitis. In each edition I'll tackle a different question - ranging from diagnosis to therapy and hopefully review most of the finer points. There is no better place to begin than at the start. Osteo as it will now [...]
People punch things. Sometimes they break their hands. This post is about those people.
The Case An 18 year old football player presents to the ED 2 days after a thumb injury. He says he hyperextended it while trying to make a tackle. He saw his PMD the next day, and despite pain in his thumb, the X-Rays were [...]
Ted Brenkert loves the sound of his own voice - that's why he keeps recording excellent educational podcasts over at PEM Currents. The latest episode focuses on fractures of the form, one of the most common orthopedic injuries seen in the pediatric emergency department. You [...]
I recently had a discussion with a group of colleagues after we saw our third nursemaid's of the night. They wanted to know whether or not I thought that one maneuver was better than the other. I explained that I had been taught flexion supination, [...]
Seriously, I can never manage to remember the differences between Monteggia and Galeazzi fractures - especially when it shows up on standardized tests. So, this edition of Fracture Fridays focuses on differentiating the two. Essentially, when one forearm bone breaks and is displaced, angulated and [...]
The Case A kid got his finger caught in a car door. It hurt. The nail is now "all cracked and mangled." Mom is worried that he'll never be a hand model. On exam you see the following: I can see why this freaked [...]
The Case A 21 month old male is refusing to walk after hurling himself down a playground slide. Mom tries to stand him up, and he crumples like a bean bag. He has some mild shin pain, but otherwise his exam is normal. You know the drill [...]