USMLE Step 1 - deep truths on anatomy
deep truths on anatomy
bingousmle - 11-16-08 02:07
a 20 yr old basket ball player sustained an injury while playing ,and developed tenderness in his anatomical snuff box. your hunch is that he most likely has got a ......
bingousmle - 11-16-08 02:07
a 20 yr old basket ball player sustained an injury while playing ,and developed tenderness in his anatomical snuff box. your hunch is that he most likely has got a ......
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#1
Re: deep truths on anatomy Youngdoctor - 11-16-08 02:09 Mostly like due to commuted fracture of the scaphois bone?.
#2
Re: deep truths on anatomy
bingousmle - 11-16-08 02:23 yes, just to quickly revise , medial border-ext pollicic longus/lat border- ext pollicis brevis and abd pollicis longus/ base trapezium and scaphoid/ and tenderness is d/t #scaphoid unless proven otherwise
#3
Re: deep truths on anatomy kingofhearts - 11-20-08 08:48 the anatomical snuff box is limited above by the styloid process of the radius and the floor is formed by trapezium and scaphoid and is crossed by radial artery......so it could involve also these .....
#4
Re: deep truths on anatomy bingousmle - 11-20-08 10:01 its not that they are not possible.
but the first dd should be scaphoid# because:
most commonly #ed; as it has an important functional role in transmitting large forces especially when the wrist is forced into extreme positions as in a fall with an outstretched hand or during sports injury.
this obviously has to be confirmed by an xray
#5
Re: deep truths on anatomy kingofhearts - 11-20-08 13:29 oh ok i get it ..so it is best to do an x ray which itself will decide....
#6
Re: deep truths on anatomy bingousmle - 11-20-08 22:34 ya the XRAY will decide ,but many a times a fatigue or some minor fracture might not always be picked up on x ray and that is where a clinical judgement is required and so an injury to the wrist leading to tenderness in the anatomical snuff box should prompt one to suspect scaphoid# !
#7
Re: deep truths on anatomy kingofhearts - 11-21-08 02:47 thanks buddy for that detaild discussion on that anatomical snuff box stuff... well i will always remember this and if i happen to come across such case i will definitely recollect this thread...
#8
Re: deep truths on anatomy bingousmle - 11-21-08 02:58 you are welcome...
come up with some clinical vignettes , since things and ideas get clearified when we discuss our doubts . and that also helps us to retain information for a long time!
#9
Re: deep truths on anatomy kingofhearts - 11-21-08 03:06 ya thats very much true ..... will try coming up with some clinical vignettes....well you see i am just a beginner to the step1 .....so will need some time to settle down ...
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