10 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... pain with wrist ... MH/CCF/CWRU EM ... #Orthopedics #Sports
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... onto outstretched hand ... MH/CCF/CWRU EM ... #Orthopedics #Sports
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... onto outstretched hand ... MH/CCF/CWRU EM ... #Carpal #Radiology ... #Orthopedics #Sports
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... onto outstretched hand ... wrist, limited ... at wrist • Possible ... MH/CCF/CWRU EM
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... onto outstretched hand ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... #Orthopedics #Sports
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 • EM appears 7-14 days at the
Late Clinical manifestations ... Localized • EM ... days-weeks after EM ... Disease #diagnosis #signs ... #symptoms
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Examination: • UMN signs ... Clonus, Babinski’s sign ... • Lhermitte’s sign ... pupillary defect SIGNS ... Signs and symptoms
Cullen's sign. Lipase 1,781. Bruising in the skin around the umbilicus. This sign is named after
Cullen's sign. ... This sign is named ... that Cullen's sign ... onset of other symptoms ... #cullensign #em
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
non-localized EOM ... such as cogan sign ... to our dismay the ... #video #ophthalmology ... #neurology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Vital signs: BP ... This patient’s clinical ... clinical judgement