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Medical Category: Orthopedics

REBEL Core Cast 77.0 – Pyogenic Flexor Tenosynovitis

Take Home Points Think about flexor tenosynovitis in a patient with atraumatic finger pain.  They may have any combination of these signs: Tenderness along the course of the flexor tendon Symmetrical swelling of the finger – often called the sausage ...

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Infectious DiseaseOrthopedics

REBEL Core Cast 74.0 – Cauda Equina Syndrome

Take Home Points: Cauda equina syndrome is a rare emergency with devastating consequences Early recognition is paramount as the presence of bladder dysfunction portends bad functional outcomes The presence of bilateral lower extremity weakness or sensory changes should alert clinicians ...

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Orthopedics

REBEL Core Cast 70.0 – Open Fractures

Take Home Points: Prioritize ABCs and systematic evaluation of the trauma patient with an open fracture as one third of these patients have multiple injuries Assess neurovascular status and immediately reduce and immobilize if compromised Give appropriate antibiotics as soon ...

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OrthopedicsTrauma

Ketorolac for Acute MSK Pain: 15mg IM vs 60mg IM

The opioid epidemic has ignited a revolution in ED pain management over the last 5+ years. As such, opportunities for research have become more abundant and have driven ED pain management forward. Regional anesthesia, lidocaine infusions, intranasal ketamine, etc., are ...

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Orthopedics

The SWIFFT Trial: To Cut or To Cast – That Is the Question

Background: FOOSH injuries, or falls onto outstretched hands, are a common presentation to the emergency department, and can frequently result in scaphoid fractures.  In fact, scaphoid fractures “account for 90% of all carpal fractures and 2-7% of all fractures” (Dias).  The ...

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Orthopedics
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