69 results
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
peaked T waves and ... segment (Panel A) #Clinical ... #Cardiology #EM ... #EKG #Hyperkalemia
Loperamide and QT Prolongation #Clinical #EM #Cardiology #EKG #QT #Prolongation #QTProlongation #Loperamide #ALiEM
Loperamide and QT ... Prolongation #Clinical ... #EM #Cardiology ... #EKG #QT #Prolongation
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
#Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... PIP joint • Ortho ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #Orthopedics #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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onto outstretched hand ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Colles #Distal #Radiology ... #MSK
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... Posterior long arm • Ortho ... Simple, DC with ortho ... MH/CCF/CWRU EM ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #Sports #MSK
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter