musculoskeletal

Reviewed February 2024 Ottawa Foot and Ankle Rules Sample question: A 25-year-old man presents to the ED for evaluation of right ankle pain. He fell and twisted his right ankle while playing basketball 8 hours ago. Immediately after his injury, he experienced difficulty bearing weight on the ankle. He has since experienced increasing pain over read more…

Reviewed January 2024 Boxer Fracture Sample question: A 17-year-old boy presents to the clinic with right-hand pain after punching a wall. Physical examination reveals swelling over the dorsum of the right hand with bony tenderness noted with palpation of the fifth metacarpal. What is the most likely diagnosis?

Reviewed February 2024 Septic Arthritis Sample Question: A 23-year-old man with a history of intravenous heroin use presents to the emergency department with a painful left hip that is preventing him from walking. He denies injury. Physical exam reveals a swollen and erythematous left hip that is tender to palpation. His temperature is 102.2°F. What read more…

Reviewed February 2024 Rotator Cuff Impingement and Tear Sample question: Which muscle is most commonly involved with rotator cuff injuries?

Reviewed February 2024 Supracondylar Fracture Sample question: A 5-year-old girl presents to the ED with right elbow pain after falling on her outstretched hand. Physical examination reveals limited range of motion, swelling, and pain of her right elbow. No neurologic deficits are noted, and pulses of her right upper extremity are normal. X-ray reveals a read more…

Reviewed January 2024 de Quervain Tenosynovitis Sample question: A 20-year-old man who is employed in construction presents with pain to his thumb and wrist for 4 months. He states that the pain worsens while he is working. Examination reveals pain along the radial surface of the wrist with forced ulnar abduction. What management is indicated?

Reviewed January 2024 Ankylosing Spondylitis (Radiographic Axial Spondyloarthritis) Sample question: A 51-year-old man presents with low back pain that has been worsening over the past several years. Radiographs of the spine demonstrate fusion of the sacroiliac joints and a “bamboo spine.” Blood tests reveal that he is human leukocyte antigen B27 positive. Which of the following findings read more…

Reviewed February 2024 Osgood-Schlatter Disease Sample question: A 15-year-old boy presents to the ED with right knee pain for the last 2 weeks. He is the point guard on his high-school basketball team. The pain is worse after basketball practice or a game. He does not specifically remember injuring his knee. On examination, he is tender read more…

Welcome back to Episode 17! This is part 2 of the 3 part ITE rapid review series. In Episode 16, we covered abdominal emergencies, cardiovascular emergencies, cutaneous emergencies, endocrine emergencies, and environmental emergencies. Today we jump right in with HEENT emergencies. Let’s get started!