A Week in Review: Nov 19th - Nov 25

Monday: Back to Basics - Le Fort Fractures

3 Types: 1 = Palate, 2 = Palate + nose, 3 = Whole face

Tx = Generally surgical intervention + antibiotics

Wednesday: What's the Diagnosis?

Thursday: #emconf - The Hook Effect

Sometimes if bhcg level is way to high, can cause a false negative pregnancy test (think molar pregnancy).

Friday: Critical Care - Necrotizing Soft Tissue Infections

Presentation: Pain of proportion, severe edema, ecchymosis, bullae, crepitus

Diagnosis: Maintain high clinical suspicion, look for free air on xray/CT

Treatment: Emergent Surgical Evaluation, IV fluid resusitation, IV antibiotics (Vancomycin + meropenam OR Piperacilin/tazobactam.  PLUS Clindamycin to prevent toxin synthesis.

Saturday: Board Review - Flexor Tenosynovitis

How do you treat Flexor tenosynovitis, what are the 4 Kanavel's Signs?

What is the most common causing organisim.