26 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Consult GI ± EGD ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... articulates with the distal ... nerve injury • ED ... Management: Pain ... #Orthopedics #Sports
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
pain with wrist ... fractures • ED ... Management: Pain ... Discharge with orthopedic ... #Orthopedics #Sports
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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Distal radius ... variable gross wrist ... ligament injury) • ED ... Management: Hematoma ... XRay #Diagnosis #Management
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... injuries: Rare • ED ... Management: Pain ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... associated injuries: distal ... dislocation • ED ... Management: Pain ... #TerryThomas #Wrist
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... may be herald bleed ... Typical "herald bleed ... Sensitivity of EGD ... inspection of the distal
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... dislocation • ED ... Management: Pain ... Scaphoid #Fracture #Wrist ... XRay #Diagnosis #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... Avulsion fracture • ED ... Management: Pain ... Discharge with orthpedic ... #Hand #Orthopedics
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... Response Management ... intervention (EGD ... Gastrointestinal #gastroenterology ... #Management #criticalcare