8 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Tenderness to anatomic ... box, pain with wrist ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
• Mechanism: Fall ... ulna, pain with wrist ... MH/CCF/CWRU EM ... #Carpal #Radiology ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
• Mechanism: Fall ... associated injuries: Carpal ... MH/CCF/CWRU EM ... #Carpal #Radiology ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
• Mechanism: Fall ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... #Sports #MSK
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Serial trops (-) EM ... echo ==> Septal wall ... #HCM #clinical ... echocardiogram #plax ... #cardiology #pocus
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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variable gross wrist ... injury, acute carpal ... MH/CCF/CWRU EM ... Colles #Distal #Radiology ... #MSK
Parasternal LAX view with severe septal thickening in a patient with Hypertrophic CM and obstruction. Given
Given the severe wall ... risk for sudden cardiac ... #HCM #plax #Echocardiogram ... #clinical #cardiology ... #pocus
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
stairs, brisk 4 mph walk ... Change in clinical ... Intraabdominal - Orthopedic ... one post op Cardiology ... events or death (CARP