21 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Wrist #Carpal #Radiology ... #Management #Orthopedics ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... fracture • ED Management ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Radiology Imaging ... mass and NO prior signs ... diagnosed ON THE X-RAY ... Differential diagnosis ... #clinical #Radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... injury • ED Management ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... asymmetrical, similar or bigger ... deWinter T waves - starts ... electrocardiogram #cardiology ... Interpretation #differential
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Radiology Imaging ... for secondary signs ... Differential diagnosis ... #mri #clinical ... #Radiology #diagnosis
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... safe #, but >500 DANGER ... - Short QT <300 ... -360 ms: ↑ca - ... electrocardiogram #cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... fracture • ED Management ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK