9 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... • Due to injury ... ("Terry Thomas sign ... MH/CCF/CWRU EM Res ... Scaphoid #Carpal #Radiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, median nerve injury ... Ortho consult: Yes ... MH/CCF/CWRU EM Res ... #Radiology #XRay ... #Diagnosis #Management
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... ), ligamentous injury ... brachial artery injury ... #Posterior #Radiology ... #XRay #Diagnosis
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Spinal Cord Injury ... Spinal Root Sensory Motor ... C6 Dorsal Thumb Wrist ... #differential #diagnosis ... #Neurology #Spine
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
spared in this injury ... Anterior Shoulder Dislocation ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... injuries: Perilunate dislocation ... MH/CCF/CWRU EM Res ... #Carpal #Radiology ... #XRay #Diagnosis
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... radioulnar joint injury ... , elbow dislocation ... Fracture #Elbow #Radiology ... #XRay #Diagnosis
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... Several of the diagnoses ... Within the first few ... following high speed motor ... #Radiology #CTChest