A Week in Review: Oct 30th - Nov 4th

Monday: Back to Basics - Zygomatic Fractures

Isolated Zygomatic Arch Fractures okay for Outpatient Follow up.

If patient has a "Tripod Fracture" (Zygomatic Arch + Lateral Orbit + Inferior Orbit / Lateral Sinus) Needs urgent OMFS +/- Optho if evidence of occular muscle entrapment

Tuesday: Advanced Practice - Ramsey Hunt Syndrome

Presentation: Classic Triad: ipsilateral facial paralysis, ear pain, vesicles in auditory canal and auricle

Treatment: Antiviral + Steroids + Analgesia, Consider eye protection (saline drops vs patch)

Wednesday: What's the Diagnosis?

Thursday: #emconf - Shoulder Dystocia

Keep it on your mind, watch for the "Turtle Sign"

1) Call for help (OB / NICU)

2) McRoberts Maneuver

3) Midline Episiotomy

4) Woods / Corkscrew

5) Deliver Posterior Shoulder

6) Break Clavicle vs Zavenlli (C/S)

Friday - Critical Care: Spontaneous Intracerebral Hemorrhage

Avoid Intentional Hyperventillation

Targe SBP < 140

HOB to > 30 deg

Check for anticoagulants on the medication list

Saturday - Board Review: Knee Injuries

Severe Knee Trauma, not a dislocation or arterial injury, what else could it be?