2015-08-03 PAST543-Objectives-OrthoTopics_2015 1 Physician Assistant Master’s Program Loma Linda University Clinical Medicine III PAST 543 Summer Quarter, 2015 Acute Orthopedics and Basic Principles of Musculoskeletal Imaging for Physician Assistants Including Head, Neck, and Soft Tissues Learning Objectives: Upon completion of this unit of study, the student should be able to: 1. Consult with his/her supervising physician and the radiologist regarding the appropriate radiologic studies and the patient’s clinical condition 2. Consult with his/her supervising physician, a radiologist and other consultants as indicated regarding the patient’s radiologic findings and the patient’s clinical condition 3. Recognize his/her own limitations regarding radiographic evaluations and seek appropriate consultation as needed 4. List the indications, contraindications and common risks and benefits of plain film radiographs 5. Correlate history and physical studies with radiologic plain film findings 6. Develop a preliminary diagnosis and differential diagnoses based upon history, physical, and radiographic findings 7. Determine the preferred radiographic study to assess common head, neck, and musculoskeletal problems 8. Define the following common fractures: a. Monteggia fracture b. Galeazzi fracture c. Jefferson burst fracture d. Hangman’s fracture e. Le Fort I, II, and III f. Boxer’s fracture g. Bennett’s fracture h. Colles’ fracture i. Smith’s fracture j. Jones’ fracture k. Tripod fracture 9. Identify the following problems usually assessed by radiographic means a. Croup steeple sign b. Nursemaid’s elbow c. Adhesive capsulitis of the shoulder
2015-08-03PAST543-Objectives-OrthoTopics_20151 Physician
Assistant Masters Program Loma Linda University Clinical Medicine
III PAST 543 Summer Quarter, 2015 Acute Orthopedics and Basic
Principles of Musculoskeletal Imaging for Physician Assistants
Including Head, Neck, and Soft Tissues Learning Objectives: Upon
completion of this unit of study, the student should be able to:
1.Consult with his/her supervising physician and the radiologist
regarding the appropriate radiologic studies and the patients
clinical condition 2.Consult with his/her supervising physician, a
radiologist and other consultants as indicated regarding the
patients radiologic findings and the patients clinical condition
3.Recognize his/her own limitations regarding radiographic
evaluations and seek appropriate consultation as needed 4.List the
indications, contraindications and common risks and benefits of
plain film radiographs 5.Correlate history and physical studies
with radiologic plain film findings 6.Develop a preliminary
diagnosis and differential diagnoses based upon history, physical,
and radiographic findings 7.Determine the preferred radiographic
study to assess common head, neck, and musculoskeletal problems
8.Define the following common fractures: a.Monteggia fracture
b.Galeazzi fracture c.Jefferson burst fracture d.Hangmans fracture
e.Le Fort I, II, and III f.Boxers fracture g.Bennetts fracture
h.Colles fracture i.Smiths fracture j.Jones fracture k.Tripod
fracture 9.Identify the following problems usually assessed by
radiographic means a.Croup steeple sign b.Nursemaids elbow
c.Adhesive capsulitis of the shoulder
2015-08-03PAST543-Objectives-OrthoTopics_20152 10. Determine when
radiographic plain films are either contraindicated or may not be
helpful: a.Diagnosis of epiglottitis b.Certain foreign bodies that
are not metallic 11. Recognize his/her own limitations regarding
radiographic evaluations and seek appropriate consultation as
needed 12. Identify common fracture patterns that may appear on
radiographic plain films 13. Identify radiographic signs of
degenerative joint disease 14. Discuss the radiographic plain film
findings that may indicate acute or chronic osteomyelitis 15.
Correlate plain film radiographic findings with soft tissue injury
or disease including edema, fluid, or gas 16. Use radiographic
studies to enhance diagnostic accuracy in a cost effective manner
Class Instructor: Linda Metzger, MPA, PA-C; Physician Assistant
(Orthopedics); Required reading: Practical Radiology: A Symptom
Based Approach. F.A. Davis, 2013; Chapters 2 and 3 Recommended
reading:Davenport, M: Cervical spine fracture in emergency
medicine. http://emedicine.medscape.com/article/824380-overview.
Accessed August 3, 2015. Stone, CK; Humphries, RL: Current
Emergency Diagnosis and Treatment, 7th Ed. 2011, Lange Medical
Books/McGraw-Hill. Chapters 23, 27, 28
