10 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (RV), right atrium ... (RA), left ventricle ... (LV) and left atrium ... septum #Clinical #EM ... #Cardiology #POCUS
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
the first metacarpal ... the first metacarpal ... • Mechanism: Axial ... MH/CCF/CWRU EM ... #Diagnosis #Management
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
the first metacarpal ... the first metacarpal ... • Mechanism: Axial ... MH/CCF/CWRU EM ... #Diagnosis #Management
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
home in a thumb spica ... as a result of arterial ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... , TEE, CT or MRI ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... Hyperflexion injury with axial ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #XRay #Diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... Hyperextension injury with axial ... MH/CCF/CWRU EM ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Paradoxical emboli via ASD ... ↑ Suspicion -> TEE ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Paradoxical emboli via ASD ... + ↑Suspicion → TEE ... #cardiology #infectiousdiseases
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... on the upper left ... Several of the diagnoses ... This post will focus