Clinic A/P, adults, MUSCULOSKELETAL
Diagnosis H&P -Hx: Heel pain that is worse with the first steps in the morning or after prolonged rest. -PE: Heel tenderness present. Palpation of the medial plantar calcaneal region elicits a sharp pain. Discomfort in the proximal plantar fascia elicited by...
Clinic A/P, adults, Clinic A/P, Peds, MUSCULOSKELETAL
“The radiograph shows a fracture of the fifth metacarpal head, commonly known as a boxer’s fracture. There is only slight volar angulation and no displacement. The proper treatment for this fracture is an ulnar gutter splint, which immobilizes the wrist, hand,...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds, MUSCULOSKELETAL
Background Common Mechanism of Injury: Fall on a hyperextended wrist and a pronated and radially deviated hand. Diagnosis H&P Presentation: Pain in the anatomic snuffbox. X-rays: PA, lateral oblique, and ulnar deviated views. NB: XR can miss nondisplaced...
2nd INPATIENT, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
The preoperative history and physical exam have been performed (above) and the risk of major adverse cardiac events (MACE) is estimated below. That risk depends on 1) the risk of the proposed surgery and 2) the patient’s risk and functional capacity. Risk...
ACID-BASE DISTURBANCES, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
How Acid-Base Balance is Maintained Our bodies are huge and complex chemical factories with many reactions going on within our cells. Every day, our metabolism produces huge amounts of acids that our bodies must manage to avoid deadly acidemia. These acids are...
CARDIOLOGY, Clinic A/P, adults, Hospital A/P, Adults
Definition: An AAA is defined as abdominal aorta with a maximal diameter >3.0 cm. A small AAA has a diameter <4.0 cm. A medium AAA has a diameter of between 4.0 and 5.5 cm. A large AAA has a diameter ≥5.5 cm. And Very large AAA has a diameter ≥6.0 cm Diagnosis...
