11 results
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
- Heliotrope sign ... or shawl sign ... - Gottron's sign ... - Interstitial lung ... #Diagnosis #Rheumatology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... • ED Management ... Discharge with orthopedic ... #Orthopedics #Sports
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... • ED Management ... Splint: Posterior long ... XRay #Diagnosis #Management ... #Orthopedics #Sports
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... • ED Management ... II-IV, pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... Splint: Posterior long ... II-IV, pending orthopedic ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... follow-up with orthopedics ... XRay #Diagnosis #Management ... #Orthopedics #Sports
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
chest (in a V-sign ... shoulders (in a shawl sign ... Inverse Gottron’s sign ... anti-NXP2 Abs Lung ... #rheumatology #
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... injuries: Rare • ED Management ... Splint: Posterior long ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
chest (in a V-sign ... shoulders (in a shawl sign ... Non-small-cell lung ... #diagnosis #management ... #rheumatology #
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Apnea/poor effort, Signs ... ↓ BP is a late sign ... potential pelvic fracture ... normalized vital signs ... Survey #CABCDE #management