10 results
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
disease; CRT, cardiac ... ejection fraction; HFrEF ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
XR, the capitate ... injury • ED Management ... repair MH/CCF ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... fractures • ED Management ... 1 week MH/CCF ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... 1 week MH/CCF ... #TerryThomas #Wrist ... #Radiology #XRay ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
x-rays MH/CCF ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Ejection Fraction (HFrEF ... → no signs of CXR ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
causes, aborted cardiac ... hospitalization for the management ... Spironolactone #HFpEF ... #dCHF #Cardiology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... injury, acute carpal ... injury) • ED Management ... Colles #Distal #Radiology ... #Orthopedics #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... of DRUJ MH/CCF ... Radial #Distal #Radiology ... #Orthopedics #MSK
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... disease b) CHF ... one post op Cardiology ... events or death (CARP ... medical and surgical management