# Clavicle

When clavicle injuries occur and a bruit is present, subclavian arterial injury must be ruled out with an angiogram.

Monteggia and Galeazzi

Monteggia fracture: # of proximal third of ulna, with anterior dislocation of radial head. May be associated with injury to radial nerve
Treatment: open reduction and internal fixation in adults, closed reduction and casting are optimal for children.

Galeazzi fracture: Radial shaft #, associated with disruption of distal radio ulnar joint also need open reduction and internal fixation.

Remember that in Monteggia # the Medial bone is #ed

Alcohol withdrawal

Alcohol withdrawal is best treated with long-acting benzodiazepines such as chlordiazepoxide

Candida vaginitis

Candida vaginitis is not considered a STD and occurs in presence of risk factors such as DM, oral contraceptive pills, pregnancy and immunosuppressive therapy.

Old age vaccine

What vaccine in Old age ?






Pneumococcus vaccine to all above 65 years age

GI, EYE and Muscular complaints

GI complaints associated with muscle pain, swelling, and weakness. Presence of subungual splinter hemorrhages, conjunctival and retinal hemorrhages, periobital edema and chemosis






Trichinosis

Nail puncture wound

Infection resulting from nail puncture wound in an adult is most likely due to




Pseudomonas aeruginosa