55 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... Klebsiella, pneumoniae) Management ... black #esophagus #diagnosis ... #management #gastroenterology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
onto outstretched hand ... ligament injury) • ED ... Management: Hematoma ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... fractures • ED ... Management: Pain ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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- Differential Diagnosis ... in SBP > 40 - End-organ ... Failure, Toxins/Medications ... #criticalcare # ... algorithm #treatment #management
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... GERD: Testing EGD ... indications → PPI ... Reflux #Disease #diagnosis ... #management #Gastroenterology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
onto outstretched hand ... injury (LCL) • ED ... DC with orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Avulsion fracture • ED ... Management: Pain ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... nerve injury • ED ... Management: Pain ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Classification and ... Differential Diagnosis ... in SBP > 40 • End-organ ... Failure, Toxins/Medications ... #Types #criticalcare
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and ... IBD - Management ... Colonoscopy +/- EGD ... #gastroenterology ... #indications