Andrew Topf

#ANES25PhotoChallenge Father/son discussion at ASA 2025 MCC: Winnie Perivascular Brachial Plexus Block-An Ultrasound Revisit.

The Ottawa ankle rules are a clinical tool to help determine if an individual needs xrays following a foot or ankle injury. An xray is indicated when there is bony tenderness of the medial malleolus and lateral malleolus of the ankle and the base of the 5th metatarsal or navicular of the foot. Xray is also indicated if there is an inability to bear weight for four steps both immediately following the injury and at the time of clinical evaluation. Sensitivity is 97.6%, specificity is 31.5% 🔗👇 Link Below 👇🔗 -- Read: wikism.org/Ottawa_Ankle_R… -- Watch: youtube.com/watch?v=YcUDi0… -- #MedicalEducation #MedEd #Physio #ATC #Orthopedics #SportsMedicine #PhysicalTherapy #AthleticTraining #Rehab #InjuryPrevention #SportsInjury #SportsRehab #PhysioTherapy #FOAMed

Pain on the outside of your hip is one of the most common problems I see in my practice. Walkers get it. Runners get it. People who've never been to a gym get it. For decades, we called it bursitis and injected it. We were treating the wrong thing.

@HowieRose Where's Shoeless Joe?

Okay, I will take the bait. Nolan Ryan was not better than Tom Seaver and was certainly not better than Sandy Koufax.

We may have just witnessed the greatest goal ever scored

💉 Do patients with Ehlers-Danlos syndrome respond differently to lidocaine? RCT findings: 🔹No difference at 5 min 🔹Less anesthesia in EDS at 15 min (60% vs 84%) 🔹Less anesthesia at 30 min (53% vs 80%) Read the full article here: doi.org/10.1136/rapm-2… #RAPM #EDS

Hero NYPD chief who chased down bomb suspects speaks out: 'Once a cop, always a cop' trib.al/G5l2YWz

If it can happen, it will happen. A dislocated mandible (image) might develop after a routine oral tracheal intubation. Hippocrates described the treatment over 2000 years ago. Push the mandible down, then backward.

Point-of-care ultrasonography allows accurate assessment of the internal jugular vein in patients with intravascular #VolumeOverload. 💾 Save this video for your next clinical encounter. 🔗 Read the full article: ja.ma/4crPnSx

🚀 Faster recovery, less pain, and minimal opioids! The SOLIS protocol for hip & knee replacement shows game‑changing results—avg pain <2 & 99% walking same day. Read more 👉 anesthesiologynews.com/a/-jYBAA/t #Orthopedics #Anesthesia #ERAS #SurgeryInnovation

Axillary Nerve On Ultrasound: Quadrangular Space Landmarks For ultrasound and physician education, visit NRAPpain.org. #axillarynerve #nerveblock #paindoctorbrooklyn #paindoctornyc #paindoctorusa #americanpaindoctor

Systematic review and meta-analysis: Prophylactic TXA use was associated with lower intraoperative blood loss, transfusion requirements, and major bleeding without an observed increase in thromboembolic or mortality risk. ja.ma/4c8OJZU

Washington Examiner reporters give State of the Union insights. MORE: tinyurl.com/mtdby36a

Mishra’s test evaluates for the presence of palmaris longus. In part 1, the examiner begins by passively hyperextending the patient’s metacarpophalangeal joints. While maintaining this position, the patient is then asked to actively flex the wrist against resistance. In part 2, the patient is asked to abduct the thumb against resistance while the wrist is held in slight flexion. These maneuvers accentuate the palmaris longus tendon if it is present. Sensitivity is 100%, specificity is 83 to 89%! Read: wikism.org/Mishras_Test Watch: youtube.com/watch?v=501pp6… #MedicalEducation #MedEd #Physio #ATC #Orthopedics #SportsMedicine #PhysicalTherapy #AthleticTraining #Rehab #InjuryPrevention #SportsInjury #SportsRehab #PhysioTherapy #FOAMed

The Dorsal Radioulnar Ligament or DRUL is a dorsal component of the Triangular Fibrocartilage Complex that originates from the distal radius and inserts onto the ulnar fovea and ulnar styloid, forming a key stabilizing structure of the distal radioulnar joint. It functions to provide dorsal stability of the DRUJ, particularly resisting volar translation of the ulna during forearm pronation and contributing to rotational control. Pathology typically involves traumatic or degenerative tears as part of TFCC injury, leading to DRUJ instability, ulnar-sided wrist pain, and decreased grip strength. 🔗👇 Link Below 👇🔗 -- Read: wikism.org/Dorsal_Radioul… -- #Anatomy #ATC #SportsMedicine #Orthopedics #PhysicalTherapy #AthleticTraining #Rehab #InjuryPrevention #Physio #SportsInjury #SportsRehab #PhysioTherapy #Meded #FOAMed

Patients who use cannab!s may have higher postoperative pain and opio!d requirements. Have you noticed this in your practice? There’s more in the latest #APSFNewsletter! #patientsafety #anesthesia #anesthesiology #medicationsafety

“Miracle” opened at a theater near you 22 years ago today, February 6, 2004. Kurt Russell as the 1980 US men hockey team's head coach Herb Brooks in “This Is Your Time” scene.

Nicotine withdrawal may change how your brain processes pain. 🧠🚬 New research shows abstinent smokers experience heightened pain sensitivity and need more pain meds after surgery. painmedicinenews.com/a/BTYBAA/t #nicotine

Semaglutide, fasting and gastric ultrasound Nearly 50% of patients receiving semaglutide treatment had a full stomach on pre-operative gastric ultrasound, regardless of dose, duration, route of administration or withholding time. #anaesthesia #MedTwitter doi.org/10.1111/anae.7…

How much exercise is needed? Any is a step forward for promoting health nature.com/articles/d4158…

👊 Leo Messi's bodyguard really earns his salary.