10 results
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
finger - injury ... Rolando fracture Scaphoid ... #Fractures #XRay ... #Radiology #Wrist ... #differential #
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
no longer sitting ... Carpal fracture (scaphoid ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... #Fracture #Wrist ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... box, pain with wrist ... #Scaphoid #Carpal ... #Radiology #XRay ... #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
onto outstretched hand ... variable gross wrist ... Colles #Distal #Radiology ... #XRay #Diagnosis ... #MSK
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
safe #, but >500 DANGER ... Short QT <300-360 ms ... #Approach #ECG ... #EKG #diagnosis ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... #Ischemia #ECG ... #EKG #diagnosis ... #electrocardiogram ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... #Equivalents #ECG ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Orthopedic Splints, Casts, Plasters, Traction and Frames
Upper Limb and Spine 
 • DUNLOP TRACTION: Used in
Orthopedic Splints ... scoliosis • SCAPHOID ... The wrist is held ... rotational instability e.g ... Plasters #Frames #Orthopedics
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... indicated • EKG ... Obtain EKG if: ... Intraabdominal - Orthopedic ... risk Chest X-ray