There are special tests you can perform on orthopedic patients who visit your emergency department to get the most accurate diagnosis and affect their ultimate treatment and disposition—surgery, splint, or home. Christopher Hogrefe, MD, FACEP, assistant professor of medicine, emergency medicine, and orthopaedic surgery at Northwestern University Feinberg School of Medicine in Chicago, will go over them during his presentation “Master Clinician Series: The Rapid, High-Yield Ortho Exam in the ED.”
“High-yield exam maneuvers can not only solidify specific diagnoses, but also can help us rule out life- or limb-threatening conditions,” Dr. Hogrefe said. “Because the orthopedic physical exam has been so well-validated in the literature, it can help save patients from unnecessary immobilization or the hours’ wait for advanced imaging.”
Dr. Hogrefe also will discuss when optimal follow up should happen—does it need to be in a day? A week? With a primary care physician rather than an orthopedic surgeon?—and how to interact with orthopedic surgeons. “Exchanging information is a delicate dance,” he said. “They’re looking at and for specific information. We’ll look at what information is important to convey and how to, and perhaps more importantly how not to, convey it.”
Finally, for each joint (shoulder, elbow, wrist, knee, ankle, and foot), Dr. Hoegrefe said there are some can’t-miss things that physicians should look for on the physical exam. “These are things you shouldn’t miss, because if you do the consequences can be quite significant,” he said.
Amy E. Hamaker is a Canyon Country, California-based freelance writer.
Master Clinician Series: The Rapid, High-Yield Ortho Exam in the ED
Wednesday, Oct. 19
South Seas Ballroom E