ETIG / PM&R / PT / RIGInterdisciplinary Night

PreceptorsPM&R: Christopher McMullen, MD - PGY-3 University of Colorado

MSK Radiology: Jonathan Flug, MD/MBA; Kris Schramm, MD

PT: Amy McDevitt, PT, DPT, OCS, FAAOMPT

ETIGFostering future healthcare educators

● Empowering students to use teaching experiences as learning opportunities

Interdisciplinary education

● MSC → Student Senate organization?

OverviewCase overview

Small groups with preceptors, 3 rotations

● Physical Medicine and Rehabilitation● Physical Therapy● Musculoskeletal Radiology

Case debrief

Vignette - SubjectiveLisa is a 55 year old female presenting to her PCP with progressive LE pain while running. She occasionally has similar pains while working her 9-5 job as an office secretary. She currently rates her pain as 3/10.

PMH: Diagnosed with Diabetes Mellitus Type 2 in 2005 with an A1c of 9.1. Recurrent bilateral shin splints since 20 years old. Fractured L ankle at the age of 26; internally fixed with 2 syndesmotic screws.

FH: Father deceased at age of 50 due to Beckers Muscular Dystrophy. Mother has never had a genetic test for Beckers.

SH: Social drinker. Uses cannabis 3 times a month.

Vignette - ObjectiveGeneral: Patient is alert, oriented to time and place and is responsive to questions.

Lower MSK: Right sided Trendelenburg gait when walking across examination room. Slight R sided atrophy of leg muscles. R sided SI joint tenderness upon palpation. Diminished R hip active and passive ROM. Right straight leg raise elicits pain at 45 degrees. Diminished R Achilles reflex. Diminished sensation with monofilament test bilaterally at the MP joint of the foot. Pedal pulses 2+ bilaterally.

What do you think?Assessment: What is your differential?

Plan: How would you confirm your ddx? How would you help this patient?

Split into groups...1202, 1206, 1304

● Mixed student groups!

Imaging

Case Conclusion● PT

○ Differential: disc herniation, nerve root compression, LBP, SI joint○ Treatment: specific exercise, hip strengthening, traction

● Radiology○ Differential: disc herniation, vertebral deformity, OA changes○ Imaging: discogram, XR, MR○ Treatment: vertebroplasty, guide invasive interventions

● PM&R

Questions?ETIG: Bill.Quach@ucdenver.edu, Michael.Cookson@ucdenver.edu ,Thomas.Wong@ucdenver.edu

PM&R: Andrew.Sprowell@ucdenver.edu

PT: Alyssa.Durkin@ucdenver.edu, bryce.zaffarano@ucdenver.edu

RIG: Erica.Emmons@ucdenver.edu, Thomas.Wong@ucdenver.edu