10 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... Splint: Posterior long ... #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... injuries: Perilunate dislocation ... Wrist #Carpal #Radiology ... #Sports #MSK
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... SOB from CHF, Chest ... bradycardia #diagnosis #differential ... #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... Chest x-ray: signs ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest ... X-ray and lung ... Phos), CBC with differential ... monitoring (vital signs ... MyastheniaGravis #Checklist #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... nodes • Roth’s spots ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... ECG is vital while ... #diagnosis #differential ... #algorithm #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... X-ray: • Not ... unless prior heart/lung ... medical and surgical management
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... Due to their short ... wall, a chest x-ray ... #Radiology #CTChest ... #Lung #Pulmonary