SurgeNote

A-B-Cs of trauma: Airway → Breathing → Circulation 🫁💓🩸

“Shock = Supply Halted → Oxygen Can’t Keep up” 💉💨 (SHOCK → hypoperfusion)

#Batch46I

Currently skipping #Orthopedic MCQs and will return later ✅

💡 Extra trick: Think “CTS = Thumb pain + Thenar, PIN = Posterior only, Pronator = Pain forearm, Cubital = Claw”

Cubital Tunnel Syndrome – Ulnar nerve at elbow Key: Sensory: little finger + ulnar half of ring finger; Motor: claw hand Mnemonic: “Ulna = Ulnar side + Ulnar claw” ✊ Sensory: medial 1½ fingers Motor: interossei & intrinsic hand muscles → clawing

Posterior Interosseous Syndrome (PIN) – Radial nerve branch) Key: Weak finger extension without sensory loss Mnemonic: “Posterior Inability to Nail” ✋💪 Pure motor: finger & thumb extension weak No sensory deficit

Pronator Syndrome – Median nerve at elbow Key: Similar sensory to CTS but forearm pain + no nocturnal worsening + thenar okay Mnemonic: “Pronator Pain, Palm okay” ✋ Sensory: forearm + lateral hand (sometimes) Motor: Thenar usually preserved Pain with forearm pronation

Understanding Carpal Tunnel Syndrome

😷👆 Carpal Tunnel Syndrome (CTS) – Median nerve at wrist Key: Diminished sensation thumb, index, middle + Thenar atrophy Mnemonic: “Median Motor + Middle fingers” 🖐 Sensory: lateral 3½ fingers Motor: Thenar muscles weak/atrophy Worsens at night

“TB joints heal softly” 🦴➡️🧵 Soft = fibrous ankylosis, not hard bony fusion.

Kids fall on Extended hands – so extension-type is Everywhere.

Tuberculosis tosses tiny seeds (melon/rice) into the joint 🌱🦴 think of rice/melon seeds floating in TB joint fluid.