11 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... such as cogan sign ... 10-15% with MG will ... tumor, and always ask ... ophthalmology #neurology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... /CWRU EM Res @MetroHealth_EM ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
be obvious; signs ... Ortho consult: Yes ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis ... #Orthopedics #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... No, if Type I; Yes ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... /CWRU EM Res @MetroHealth_EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis
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 ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... No, if Type l; Yes ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis ... #Orthopedics #MSK
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Arboviruses: - West ... • Common clinical ... Acute meningeal signs ... k_vaishnani and Ravi ... #neurology #meningitis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ADHF typically fall ... Signs of poor perfusion ... Signs of congestion ... importantly, bedside ultrasound ... #heartfailure #chf
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Transverse Myelitis - Clinical ... • Bilateral signs ... negative, MOG-IgG test ... Herpes zoster, West ... #management #neurology