15 results
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome on EKG ... infarction - Present in pain-free ... Terminal T-wave Inversion ... Symmetric T-wave Inversion ... #ecg #cardiology
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Amsterdam Wrist ... likelihood of wrist ... pain after any ... radius #fracture #radiology ... #msk #orthopedics
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Sign: LAD-T Wave Inversion ... without chest pain ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... , pain with wrist ... ED Management: Pain ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... -4 can have no pain ... #Ischemia #ECG ... electrocardiogram #cardiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... with wrist flexion ... ED Management: Pain ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
with wrist extension ... ED Management: Pain ... #TerryThomas #Wrist ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #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 ... ED Management: Pain ... Radial #Distal #Radiology ... #Orthopedics #MSK
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture on Wrist ... fracture, and if plain ... Fracture #WristXRay #Radiology ... #MSK #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
anatomic snuffbox, pain ... ED Management: Pain ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... Orthopedics #Sports #MSK