15 results
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... ligament injury) • ED ... Management: Hematoma ... Radius #Fracture #Forearm ... XRay #Diagnosis #Management
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Exam: swollen forearm ... and wrist, limited ... injuries: Rare • ED ... Management: Pain ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
nerve injury • ED ... Management: Pain ... Disposition: Pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
swollen elbow and forearm ... injury (LCL) • ED ... DC with orthopedic ... Monteggia #Fracture #Forearm ... #Orthopedics #Proximal
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... fractures • ED ... Management: Pain ... Discharge with orthopedic ... #Orthopedics #Sports
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... dislocation • ED ... Management: Pain ... #TerryThomas #Wrist ... #Orthopedics #Sports
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED ... Management: Pain ... Scaphoid #Fracture #Wrist ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... indications → PPI ... failure + negative EGD ... Disease #diagnosis #management ... #Gastroenterology
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 ... IBD #algorithm #management ... #gastroenterology ... #indications
Who to block and who not to block? Guidelines for Emergency Regional Anesthesiafor Trauma Orthopedic Injuries
Block
will require in ED ... • Both bone forearm ... High emergency forearm ... #NerveBlock #Indications ... #Management #Regional