11 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
in the Emergency ... high voltage Cardiac ... MSK - Fractures ... may be severe and ... Evaluation #Diagnosis #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
: Hyperflexion injury ... with axial load ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! 

The TTE was ordered for cardioembolic
Embolization on Echocardiogram ... renal infarcts and ... Mina Iskander MD, MSc ... #Embolization #Cardiac ... #Cardiology #A4c
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... ), ligamentous injury ... • Terrible triad ... #XRay #Diagnosis ... #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Hyperextension injury ... with axial load ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
- with severe MS ... (4) All 4 cardiac ... (7) patient in atrial ... #clinical #cardiology ... #a4c #thrombus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Septic Emboli Cause Injury ... ↑ Suspicion -> TEE ... Endocarditis #diagnosis #management ... #cardiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... o infection • Echocardiogram ... reveals increasing blood ... retum in serial ... differential #diagnosis #management
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
on Echocardiogram ... (A4C) 48 year ... are not POCUS: serial ... blood cultures, ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... one post op Cardiology ... risk Chest X-ray ... postoperative cardiac ... surgical management