17 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
Apical 4-chamber (A4 ... ventricle (LV) and ... of the septum #Clinical ... #EM #Cardiology ... #FourChamber #ALiEM
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
XR, the capitate ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... of DRUJ MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Radial #Distal #Radiology ... #Orthopedics #MSK
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
our ED residents and ... /CWRU EM Res @MetroHealth_EM ... #POCUS #clinical ... ultrasound #trauma #cardiology ... #s4c
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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onto outstretched hand ... variable gross wrist ... /CWRU EM Res @MetroHealth_EM ... Colles #Distal #Radiology ... #Orthopedics #MSK
B-lines are visualized as hyperechoic vertical artifacts arising from the pleural line and extending off the
artifacts arising from ... the pleural line and ... A-line pattern #Clinical ... #EM #Radiology ... #Lung #BLines #ALiEM
The guide catheter was deliberately not engaged with the left main artery, as an occlusion was
the left main and ... clearance of contrast from ... indicative of poor cardiac ... #Clinical #EM #IM ... #Cardiology #Angiogram
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... /CWRU EM Res @MetroHealth_EM ... Mallet #Finger #Radiology ... Diagnosis #Management #Hand ... #Orthopedics #MSK