FOOSH injuries
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Fall on out-stretched hand. Common fractures by age group:
Torus - fracture of distal radial metaphysis. 4-10yo
Salter-Harris II - fracture of epiphyseal plates. 11-16yo
Scaphoid fracture - 17-40yo
Colle's frature - >40yo
David is a 28-year-old who presents with left ankle pain after rolling on his ankle
during a soccer match with his kids.
Physical Exam Findings: Ankle edema, bruising
What is the correct diagnosis for David?
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, Ankle sprain
Conjunctivitis- Infectious
Symptoms and Management
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Bacterial Conjunctivitis: Bacterial conjunctivitis is the second most
common cause of infectious conjunctivitis. Red, itchy eyes are associated
with this condition, as is purulent or mucopurulent discharge in one or both
eyes.
Toxic Conjunctivitis: Inflammation of the conjunctiva due to medications,
chemicals, or toxins can cause red, itchy eyes.
Viral Conjunctivitis: Viral conjunctivitis is the most common cause of
infectious conjunctivitis. Red, itchy eyes are associated with this condition,
as is a watery discharge.
Blepharitis
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Blepharitis, or inflammation of the eyelids, is characterized by redness at
the margins of eyelids. Symptoms of blepharitis include dry, red, itchy
eyelids that may be crusted. This diagnosis is a less likely potential
diagnosis.
Sinusitis Hx
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Nasal congestion, obstruction
Purulent nasal discharge
Discolored discharge is a sign of inflammation, not infection
Maxillary tooth discomfort
Facial pain, worse when bending forward
Eustachian tube dysfunction (ear pain, hearing loss, fullness, pressure, and
feeling like the ear cannot "pop")
Must determine the length of symptoms that are present and the course of
illness in order to differentiate bacterial from viral etiologyVirus-most
symptoms improve within 7-10 days, with a peak in severity around days #
3-6, and no feverBacteria-symptoms > 10 days, initial improvement can be
reported followed by an acute worsening of symptoms, and fever is
possible
Conjunctivitis- Allergic
Symptoms and Management
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Inflammation of the conjunctiva due to allergies is common, occurring in up
to 40% of the population. Itching is the most consistent sign of allergic
conjunctivitis; it is also characterized by red eyes and other allergic disease
symptoms such as sneezing.
Ankle Sprain
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An ankle sprain occurs after injury and is a tearing of the ligaments of the
ankle when the ligament is stretched beyond its limitations. The most
common ankle sprain occurs on the outer (lateral) ankle. Injuries where the
ankle is rolled inward (inversion) will produce a lateral ankle injury. Outward
Give this one a try later!
Fall on out-stretched hand. Common fractures by age group:
Torus - fracture of distal radial metaphysis. 4-10yo
Salter-Harris II - fracture of epiphyseal plates. 11-16yo
Scaphoid fracture - 17-40yo
Colle's frature - >40yo
David is a 28-year-old who presents with left ankle pain after rolling on his ankle
during a soccer match with his kids.
Physical Exam Findings: Ankle edema, bruising
What is the correct diagnosis for David?
Give this one a try later!
, Ankle sprain
Conjunctivitis- Infectious
Symptoms and Management
Give this one a try later!
Bacterial Conjunctivitis: Bacterial conjunctivitis is the second most
common cause of infectious conjunctivitis. Red, itchy eyes are associated
with this condition, as is purulent or mucopurulent discharge in one or both
eyes.
Toxic Conjunctivitis: Inflammation of the conjunctiva due to medications,
chemicals, or toxins can cause red, itchy eyes.
Viral Conjunctivitis: Viral conjunctivitis is the most common cause of
infectious conjunctivitis. Red, itchy eyes are associated with this condition,
as is a watery discharge.
Blepharitis
Give this one a try later!
Blepharitis, or inflammation of the eyelids, is characterized by redness at
the margins of eyelids. Symptoms of blepharitis include dry, red, itchy
eyelids that may be crusted. This diagnosis is a less likely potential
diagnosis.
Sinusitis Hx
, Give this one a try later!
Nasal congestion, obstruction
Purulent nasal discharge
Discolored discharge is a sign of inflammation, not infection
Maxillary tooth discomfort
Facial pain, worse when bending forward
Eustachian tube dysfunction (ear pain, hearing loss, fullness, pressure, and
feeling like the ear cannot "pop")
Must determine the length of symptoms that are present and the course of
illness in order to differentiate bacterial from viral etiologyVirus-most
symptoms improve within 7-10 days, with a peak in severity around days #
3-6, and no feverBacteria-symptoms > 10 days, initial improvement can be
reported followed by an acute worsening of symptoms, and fever is
possible
Conjunctivitis- Allergic
Symptoms and Management
Give this one a try later!
Inflammation of the conjunctiva due to allergies is common, occurring in up
to 40% of the population. Itching is the most consistent sign of allergic
conjunctivitis; it is also characterized by red eyes and other allergic disease
symptoms such as sneezing.
Ankle Sprain
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An ankle sprain occurs after injury and is a tearing of the ligaments of the
ankle when the ligament is stretched beyond its limitations. The most
common ankle sprain occurs on the outer (lateral) ankle. Injuries where the
ankle is rolled inward (inversion) will produce a lateral ankle injury. Outward
