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Updated: Feb 11 2022

[Blocked from Release] Lumbar Disc Replacement

  • Summary
    • Condition A is (Condition identical in caps to title)
      • 1 +) a (extremely rare, rare, common) (congenital, degenerative, acquired, traumatic) CONDITION
      • 2+) CAUSED BY what causes it from pathophysiology section THAT LEADS TO.
      • 3+) The condition typically PRESENTS IN (children, adolescents, young adults, adults, elderly)
      • 4) PRESENTS WITH most common symptoms and or finding).
        • if diagnosis is clinical below, drop most common presentation here.
    • Diagnosis is made
      • A or) clinically with primary symptoms and exam finding (in this case remove TYPICALLY present from above)
      • B or) with plain radiographs of the bone/body part
      • C or) by advanced imaging (MRI, CT) which shows
      • D or) one of exclusion
      • E or) with a combination of A,B, and C
    • Treatment is usually Treatment X t is indicated in.
      • Operative treatment is indicated in...
    • Incidence
      • very rare < 1/1,000,000,
      • rare (incidence annual new case) < 1/200,000,
      • common > 1/100,000
      • very common > 1/10,000
    • Demographics
      • male : female ratio
      • age bracket
    • Location
      • where in the body/bone
    • Risk factors
      • smoking etc.
  • Etiology
    • Pathophysiology
      • mechanism of injury (trauma)
        • this is the mechanism of injury (valgus force on knee)
      • pathoanatomy
        • this is the molecular or cell biology of disease
      • cell biology
        • this is the anatomic cascade of disease
      • microbiology
        • list of causative organisms.
    • Genetics
      • inheritance pattern
        • autosomal dominant
      • mutations
        • chromosome
        • gene
        • protein encoded for
    • Associated conditions
  • Anatomy
    • Osteology
      • describe anatomic bone
    • Arthrology
      • articulation
    • Ligament
      • ligament
    • Tendons
      • tendon name
        • origin
        • insertion
        • function
    • Muscles
      • muscle
    • Blood Supply
      • x
    • Nervous System
      • x
    • Biomechanics
      • x
  • Classification
    • Classification A
      Type A • Characteristic A
      • Characteristic A
      Type B • Characteristic B
      • Characteristic B

      Type C • Characteristic C
      Type D • Characteristic D
    • Insert AO/OTA classification for all Fracture Topics
  • Presentation
    • History (optional)
      • this is a specific event the patient cites. "Heard a pop"
    • Symptoms
      • common symptoms
        • location
        • duration
        • severity
        • aggravating / alleviating factors
    • Physical exam
      • inspection
        • varus or valgus deformity
        • ecchymosis & swelling
        • diffuse tenderness
      • motion
        • document flexion-extension and pronation-supination
          • crepitus should be noted
        • varus/valgus instability stress test
          • challenging but important for an accurate diagnosis
      • neurovascular
      • provocative tests
  • Imaging
    • Radiographs
      • recommended views
        • xrays that should alwasy be obtained on evaluation
      • optional views
        • secondary views that might give additional information
      • findings
        • disc space narrowing
      • measurement
        • measurement A (Cobb angle)
        • measurement A (pelvic incidence)
      • criteria dictating treatment
        • > 3mm step of dictates operative treatment
      • sensitivity and specificity
    • Ultrasound
      • indications
      • preferred views
      • finding
      • sensitivity/specific
    • CT
      • indications
        • when do you order
      • views
        • best seen on sagittal
      • findings
        • finding a
          • detailed description
        • finding b
      • sensitivity and specificity
    • MRI
      • indications
        • when do you order
      • views
        • best seen on T2 axial
      • findings
        • finding a
          • detailed description of finding
      • sensitivity and specificity
    • Bone scan
      • indications
        • when do you order
      • sensitivity and specificity
  • Studies
    • Labs
      • serum
      • urine
      • surface (nasal swab, sputum)
    • Invasive studies
      • Histology
        • gross anatomy
        • histology
          • low power
          • high power
        • immunostaining
  • Differential
    • Differential A
      • key findings that differentiate topic from differential A
        • found with topic
          • key finding A
          • key finding B
          • key finding C
        • found with differential A
          • key finding A
          • key finding B
          • key finding C
    • Differential B
      • key findings that differentiate topic from differential B
        • found with topic
          • key finding A
          • key finding B
          • key finding C
        • found with differential
          • key finding A
          • key finding B
          • key finding C
      • key findings that differentiate topic from differential B
        • found with topic
          • key finding A
          • key finding B
          • key finding C
        • found with differential
          • key finding A
          • key finding B
          • key finding C
    • key findings that differentiate topic from differential B
      • found with topic
        • key finding A
        • key finding B
        • key finding C
      • found with differential
        • key finding A
        • key finding B
        • key finding C
    • Clinical, imaging or combination.
  • Treatment  (for surgical residency sites, e.g., orthobullets, ENT bullets)
    • Nonoperative
      • nonoperative treatment A
        • indications
          • indication a
          • indication b
        • modalities (think of this as the options)
        • outcomes
    • Operative
      • operative treatment A
        • indications
          • indication a
          • indication b
        • techniques
          • variation of treatment A (just list the option to chose from)
          • indication b
        • outcomes
      • operative treatment B
        • indications
          • indication a
          • indication b
        • techniques
          • variation of treatment A (just list the option to chose from)
        • outcomes
  • Techniques
    • Nonoperative treatment A
      • technique
        • description
    • Operative treatment A
      • **include link to technique if one is present in "Techniques" section of Orthobullets**
        • **do not include a step-by-step guide here, that will be covered in the Technique section. Instead, the points here will be mainly centered around tested information**
      • approach
        • tested concepts only (techniques steps go in outline)
      • technique
        • tested concepts only (techniques steps go in outline)
      • complications (ONLY if specific to this treatment)
        • unique to this technique and tested concepts only (techniques steps go in outline)
    • Operative treatment B
      • **include link to technique if one is present in "Techniques" section of Orthobullets**
        • **do not include a step-by-step guide here, that will be covered in the Technique section. Instead, the points here will be mainly centered around tested information**
      • approach
        • tested concepts only (techniques steps go in outline)
      • technique
        • tested concepts only (techniques steps go in outline)
      • complications (ONLY if specific to this treatment)
        • unique to this technique and tested concepts only (techniques steps go in outline)
  • Complications
    • Complication A
      • incidence (only if pertinent)
      • risk factors
      • treatment
        • tested treatment in bold blue
          • indications
            • indication A
    • Complication B
      • incidence
      • risk factors
      • treatment
        • tested treatment in bold blue
          • indications
            • indication A
    • Natural history of disease
    • Prognostic variable
      • favorable
      • negative
    • Survival with treatment
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