64 results
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... Disposition: Simple, DC ... Complex, pending orthopedic ... MH/CCF/CWRU EM ... #Posterior #Radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... follow-up with orthopedics ... MH/CCF/CWRU EM ... Scaphoid #Carpal #Radiology ... Diagnosis #Management #Orthopedics
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
procedural sedation and ... • Disposition: DC ... MH/CCF/CWRU EM ... #Anterior #Radiology ... Diagnosis #Management #Orthopedics
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Discharge with orthopedic ... MH/CCF/CWRU EM ... #IPJoint #Radiology ... Diagnosis #Management #Hand ... #Orthopedics #MSK
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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... Diagnosis #Management #Orthopedics
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
#Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... onto outstretched hand ... DC with orthopedic ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology
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