21 results
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 ... #Diagnosis #Management ... #Orthopedics #Sports
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
nerve injury • ED ... Management: Pain ... Carpal #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... dislocation • ED ... Management: Pain ... Carpal #Radiology #XRay ... #Diagnosis #Management
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 ... Distal #Radiology #XRay ... #Diagnosis #Management
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
injuries: Rare • ED ... Management: Pain ... Distal #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED ... Management: Pain ... Scaphoid #Fracture #Wrist ... Carpal #Radiology #XRay ... #Diagnosis #Management
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD ... UGIB #GIBleed #Differential ... #Diagnosis #management ... gastrointestinal #gastroenterology
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 ... Differential: Melanosis ... black #esophagus #diagnosis ... #management #gastroenterology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Avulsion fracture • ED ... Management: Pain ... Finger #Radiology #XRay ... #Diagnosis #Management ... #Hand #Orthopedics
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
injury (LCL) • ED ... DC with orthopedic ... Ulnar #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Proximal