11 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... • Due to injury ... ("Terry Thomas sign ... 1 week MH/CCF ... #Radiology #XRay
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
duck sign" on lateral ... "pooping duck sign ... 1 week MH/CCF ... #Radiology #XRay ... #Diagnosis #Management
Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window
Air gap sign: loss ... Pneumopericardium #clinical #cardiology ... #echocardiogram ... #a4c #plax #pocus ... #airgap #sign
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... , median nerve injury ... • ED Management ... repair MH/CCF ... #Radiology #XRay
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... #cardiology #pharmacology
On the left a patient with CHF. 
There is an increase in heart size compared to
with CHF. ... Other signs of CHF ... cardiac silhouette ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... fracture • ED Management ... recommendations MH/CCF ... Fracture #Elbow #Radiology ... XRay #Diagnosis #Management
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... ), ligamentous injury ... brachial artery injury ... fracture • ED Management ... Dislocation #Posterior #Radiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... differential #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... disease b) CHF ... one post op Cardiology ... events or death (CARP ... medical and surgical management