CRACKCast & Physicians as Humans on CanadiEM

This episode covers Chapter 58 of Rosen's Emergency Medicine: Orthopaedic Ankle and Foot injuries. Its a gooder for sure.

1. Describe the bones of the foot and important joints/ligaments
2. List Ankle stress tests
3. Describe an approach to ankle x rays (including the Ottawa ankle rules)
4. Describe the Weber classification
5. List indications for ortho referral in the ER
6. Describe the management of Achilles and Tibialis posterior tendon ruptures
7. Describe the Hawkin's classification of talar neck fractures
8. Describe the diagnosis and management of calcaneal fractures and list 3 injuries associated with calcaneal fractures
9. Describe the anatomy and classification of lisfranc injuries
10. Describe the management of metatarsal shaft fractures.
11. List 6 predisposing conditions for stress fractures
12. List 4 causes each of hindfoot pain and forefoot pain
13. Differentiate between Jones and Dancer's fracture
14. Describe 4 plain-film radiographic abnormalities for stress fracture
15. Describe the Tillaux fracture and pathophysiology

Wisecracks:

1. Discuss soft tissue injuries of the ankle
2. Name 6 other mimics of the " it's just an ankle sprain"

This episode covers Chapter 57 of Rosen's Emergency Medicine.

1) List contents of popliteal fossa

2) Describe Ottawa knee Rule

3) Describe Schatzker classification for tibial plateaus fractures

4) Describe the Insall-Salvati ratio

5) Describe the management of a knee dislocation

6) Describe the management and classification of patellar fracture and dislocation

7) List 6 overuse syndromes

8) Describe the sensory and motor function of nerves of the lower extremity

9) Describe the 4 compartments of the lower leg and their contents

10) Describe the management of Tibial tubercle fractures and Osgood-Schlatter Disease

11) List 4 complications of tibial shaft fractures

12) Describe the management of proximal fibula fractures

Wisecracks

• What is a Baker's cyst and how is it managed?

• What are extensor mechanism injuries in the knee?

• DDx of acute onset calf pain?

This episode covers Chapter 56 of Rosen's Emergency Medicine.

1) List 3 compartments of leg and contents

2) List 8 causes of AVN (traumatic and atraumatic)

3) List 5 most common primary cancers metastatic to bone

4) List 15 causes of hip pain without an obvious hip fracture

5) List 3 techniques for reduction of the hip

6) Describe 4 types of hip dislocation.

Wisecracks

1. Pediatric hip/femur pathology?
2. Hip dislocations
3. Classification of femur fractures
4. 6 causes of a child with a limp

This episode covers Chapter 55 of Rosen's Emergency Medicine.

1) Describe common pelvic fractures and their classification

A)Young-Burgess classification

B)Tile classification

C)Denis classification

2) List 3 categories of complications of pelvic fractures

3) Describe the approach and management of hemodynamically unstable pelvic fracture.

4) List 5 radiographic cues to posterior arch fractures

5) What is the management of penetrating pelvic trauma

Wisecracks:

1) How are open pelvic fractures diagnosed and managed?

2) What is the classification of acetabular fractures?

3) How are coccygeal fractures managed?

This episode covers Chapter 54 of Rosen's Emergency Medicine.

1) Describe the myotomes and dermatomes L3-S1

2) List 4 Red Flag Diagnoses with associated RFs, Hx, PEX findings

3) Describe SLR, crossed-SLR, flip-test, reverse SLR and their implications

4) List 5 indications for Xray in low back pain

5) Discuss the discrimination of functional from organic back pain

6) Describe the management of:

a. Fracture

b. Cauda Equina Syndrome

c. Spinal Infection

d. Vertebral Malignancy

e. Simple Radiculopathy

7) List 8 DDx for Thoracic back pain

Wisecracks: Backpain treatment cocktails? When to order the CT scan? How to estimate the amount of post-void residual volume with ultrasound?

This episode covers Chapter 52 of Rosen's Emergency Medicine.

1. Describe an approach to the pediatric elbow
2. Classify supracondylar fractures in children
3. List 3 complications of supracondylar fractures
4. Describe the management of supracondylar fractures
5. Describe the management of humeral shaft fractures – displaced and non-displaced
6. Describe 3 injuries common in Little-leaguer's elbow
7. Describe the management and classification of radial head fractures
8. Describe the expected neurovascular injuries and management of posterior elbow dislocations
9. List the indications for x-ray in radial head subluxation
10. Describe the management of olecranon bursitis

This episode covers Chapter 51 of Rosen's Emergency Medicine.

1) Describe normal radiographic relationships:

1. Radial length measurement
2. Radial inclination
3. Volar Tilt
4. Scapholunate angle
5. Capitolunate angle
6. Wrist arcs

2) Describe xray findings and management of

1. Scaphoid fracture
2. Lunate fracture
3. Triquetral fracture

4) Describe DISI and VISI

5) Describe xray findings and management of

1. Colles'
2. Smith's
3. Barton's
4. Hutchinson's / Chauffer's
5. DRUJ Disruption

1. Forearm fractures
2. Torus fractures
3. Greenstick fractures

7) List 8 RFs for Carpal Tunnel Syndrome + Describe 2 tests for CTS

8) Describe the Monteggia and Galeazzi's fracture patterns