Mac april 2015
-
Upload
adam-watts -
Category
Healthcare
-
view
146 -
download
0
Transcript of Mac april 2015
![Page 1: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/1.jpg)
1
Elbow: Making the Elbow: Making the diagnosisdiagnosis
Adam C WattsElbow and Upper Limb Surgeon
![Page 2: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/2.jpg)
2www.wrightington.com
Learning ObjectivesLearning Objectives
Identify key differential diagnosis
Describe clinical signs
Understand most useful diagnostic tools
2
![Page 5: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/5.jpg)
5www.wrightington.com
Diagnostic indicatorsDiagnostic indicators
Age
Gender
Occupationclericalmanual
sports
5
SymptomsPain
wherewhat positionwhen
Reduced rangeMechanical
Signs
![Page 6: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/6.jpg)
6www.wrightington.com
Age as a diagnostic toolAge as a diagnostic tool
6
![Page 7: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/7.jpg)
7www.wrightington.com
Adolescent elbowAdolescent elbow
12 year old gymnast with insidious onset lateral elbow pain and stiffness
7
![Page 10: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/10.jpg)
10www.wrightington.com
Adolescent elbowAdolescent elbow
17 year old with painless limitation of forearm supination
10
![Page 11: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/11.jpg)
11www.wrightington.com
Congenital / Developmental Congenital / Developmental AbnormalityAbnormality
11
![Page 12: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/12.jpg)
12www.wrightington.com
Congenital / Developmental Congenital / Developmental AbnormalityAbnormality
12
![Page 13: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/13.jpg)
13www.wrightington.com
Adult ElbowAdult Elbow
42 year old policewoman with 6 months lateral elbow pain
13
![Page 16: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/16.jpg)
16www.wrightington.com
Adult ElbowAdult Elbow
29 year old rugby player with locking of the elbow
16
![Page 18: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/18.jpg)
18www.wrightington.com
Adult ElbowAdult Elbow
25 year old cricketer with posterior elbow pain
18
![Page 21: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/21.jpg)
21www.wrightington.com
Adult ElbowAdult Elbow
33 year old female with numbness and tingling in the hand and childhood history of elbow trauma
21
![Page 22: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/22.jpg)
22www.wrightington.com
Adult ElbowAdult Elbow
49 year old bodybuilder with 3 months anterior elbow pain
22
![Page 24: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/24.jpg)
24www.wrightington.com
Elderly elbowElderly elbow
75 year old lady with lateral elbow pain
24
![Page 26: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/26.jpg)
26www.wrightington.com
Elderly elbowElderly elbow
80 year old with global elbow pain that keeps her awake at night
26
![Page 28: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/28.jpg)
28www.wrightington.com
Elderly elbowElderly elbow
70 year old with sudden elbow stiffness
28
![Page 29: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/29.jpg)
29www.wrightington.com 29
![Page 30: Mac april 2015](https://reader030.fdocuments.in/reader030/viewer/2022032616/55a68ea61a28abc57d8b4859/html5/thumbnails/30.jpg)
30www.wrightington.com
SummarySummary
Diagnosis based on a series of questions and answers
Age is a useful tool
Prompt referral large joint effusion, trauma, OCD
30