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Case 2 84 year old female Kenneth Koncilja Aravind Reddy Meghan Kaumaya Andrew Williams.

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Presentation on theme: "Case 2 84 year old female Kenneth Koncilja Aravind Reddy Meghan Kaumaya Andrew Williams."— Presentation transcript:

1 Case 2 84 year old female Kenneth Koncilja Aravind Reddy Meghan Kaumaya Andrew Williams

2 Presentation 84 yr. old ♀ falls Landed on wrists “Crack” on fall Right wrist (RW) –Swelling –Discoloration –Pain Figure 2.1 Broken wrist presenting swelling, discoloration, pain, and dorsal angulation

3 Vitals Blood Pressure: 140/80 Pulse: 78 Rhythm: Regular Temperature: 98.9F Respiratory rate: 19 Height: 5’1” Weight: 130 lbs. HEENT examination: Normal All other systems: Normal Figure 2.2 Physician taking vital signs of patient presenting with injured wrist. pplication%20images/Spot%20LXI_wireless.jpg

4 Musculoskeletal Exam Left upper and both lower limbs are normal Right wrist- swelling, tenderness Inability to hold or lift Abnormal dorsal angulation of the wrist Shorting of the radial aspect of the right forearm

5 Pertinent Anatomy Styloid Process Distal Radius Scaphoid Medial nerve –Flexor carpi radialis –Palmaris longus

6 Radiology of Common Fractures

7 Anatomical Motions Extension/Flexion –“Snuff box” muscles –Innervated radial Hold/lift object ABuction/adduction


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