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hand management orthopedics xray aflutter counterclockwise ekg electrocardiogram fastexam flutter fracture metacarpal thumb trauma typical a4 apicalfourchamber bennett comparison evaluation
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(LV) and left atrium ... of the septum #Clinical ... #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Positive FAST in the RUQ view demonstrating echogenic clot in Morison’s pouch with adjacent anechoic free
free fluid (*) #Clinical ... #Diagnosis #EM ... #Trauma #Radiology ... #POCUS #FAST #FASTExam ... HepatorenalRecess #Positive #ALiEM
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
) Atrial Flutter ... Sawtooth waves (fast ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... Sawtooth waves (fast ... Counterclockwise #Atrial ... #cardiology #clinical ... #diagnosis
Positive FAST in LUQ view demonstrating large amount of complex free fluid (*) below the diaphragm
green arrows) #Clinical ... #Diagnosis #EM ... #Trauma #Radiology ... #POCUS #FAST #FASTExam ... #SplenoRenal #ALiEM
ROLANDO FRACTURE Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
• Mechanism: Axial ... MH/CCF/CWRU EM ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
BENNETT FRACTURE Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
• Mechanism: Axial ... MH/CCF/CWRU EM ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Hyperflexion injury with axial ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... Change in clinical ... one post op Cardiology ... CARP, DECREASE V trials ... stratification #diagnosis
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