9 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... • ED Management ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
On lateral wrist ... injury • ED Management ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... injuries: Perilunate dislocation ... MH/CCF/CWRU EM ... #Carpal #Radiology ... #XRay #Diagnosis
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
• ED Management ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... #XRay #Diagnosis
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... the radial head dislocation ... • If stable ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... one post op Cardiology ... change CV risk Chest ... medical and surgical management ... stratification #diagnosis
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
in diagnosing cardiac ... for definitive management ... - MH/CCF/CWRU EM ... #clinical #ultrasound ... #trauma #cardiology
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... mm depends on clinical ... definitive tissue diagnosis ... #Management #Radiology ... #CTChest #Fleischner
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... This patient’s clinical ... exam findings and clinical ... #Radiology #CTChest