Surgeon as a Perpetual Learner: Nerve Cases I Have Learned Most From (Feat. Dr. Mackinnon)

Surgeon as a Perpetual Learner: Nerve Cases I Have Learned Most From
Authors: Mackinnon SE1, Yee A1
Published: February 14, 2016

AUTHOR INFORMATION
1 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
This presentation was given at the 2016 American Society for Peripheral Nerve as part of a panel describing the experiences and cases that the panelists learned the most from. In this presentation, the primary author describes her experiences with the pain evaluation as one of the most essential tools for diagnoses patients with nerve injuries. Additional discussion on dealing with difficult patients and the utility of the scratch collapse test are included. Finally, the primary author discusses her experience with the controversy surrounding cumulative trauma disorder and the movement towards a new term called posture-related upper extremity pain (PRUEP).

TABLE OF CONTENTS
00:00:00 Introduction
00:01:05 Overview
00:01:18 Pain Evaluation
00:05:22 Simplicity, Specificity, and Complexity within the Pain Evaluation
00:06:42 Too Many Questions
00:10:11 Neuroma Management
00:14:39 Dealing with Difficult Patients
00:16:00 Entitled Demanders
00:17:05 Help-rejecting Complainers
00:17:30 Self-destructive Deniers
00:18:29 Dependent Clingers
00:19:22 Scratch Collapse Test
00:20:25 Posture-related Upper Extremity Pain (PRUEP)
00:24:20 Conclusion