11 results
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
obvious; signs ... Ortho consult: Yes ... MH/CCF/CWRU EM Res ... #Radiology #XRay ... #Orthopedics #MSK
Contracted gallbladder and gallstones -> Wall (gb wall) Echo (stone) Shadow (from stone) complex aka WES
(gb wall) Echo ... aka WES sign. ... cholelithiasis #WES ... #Complex #Sign ... #pocus #clinical
Wall Echo Shadow Complex (WES) on Gallbladder Ultrasound

Medical student: “I couldn’t find the gallbladder. I looked
Wall Echo Shadow ... Complex (WES) on ... “did you look WES ... WallEchoShadow #WES ... #Complex #Sign
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... No, if Type l; Yes ... MH/CCF/CWRU EM Res ... Elbow #Radiology #XRay ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... No, if simple; Yes ... MH/CCF/CWRU EM Res ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dislocation, distal radius ... MH/CCF/CWRU EM Res ... Carpal #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... injuries: distal radius ... MH/CCF/CWRU EM Res ... Carpal #Radiology #XRay ... Orthopedics #Sports #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
capitellum (age 1), radial ... No, if Type I; Yes ... MH/CCF/CWRU EM Res ... #Diagnosis #Management ... #Orthopedics #MSK
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
If yes, any mention ... stairs, brisk 4 mph walk ... Change in clinical ... since elective PCI/DES ... stratification #diagnosis
CABG Graft Pseudoaneurysm

Chest pain post CABG - always worth taking a look!  Large graft pseudoaneurysm!!
and emphysema, ask ... chest showed the diagnosis ... Pseudoaneurysm #clinical ... #pocus #echocardiogram ... #s4c