37 results
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
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 ... #Orthopedics #Sports ... #MSK
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... Disadvantages: Short ... • Advantages: Longer ... Devices #Comparison #cardiology ... #management #holter
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
-60 minutes or longer ... joint trauma (e.g ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
at least 1.2 mg/kg ... on exhalation port ... using BVM: Hold mask ... Internet Book of Critical ... Checklist #SARSCoV2 #Management
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... Radiology Imaging ... Differential diagnosis ... #Radiology #diagnosis ... #msk #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
the most tender spot ... injection lasts longer ... Bursa #Injection #clinical ... video #procedure #rheumatology ... #sports #msk #orthopedics
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: ↑ca - ... #EKG #diagnosis ... electrocardiogram #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
asymmetrical, similar or bigger ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Freiberg Infraction - MSK ... Radiology Imaging ... factors include: Short ... Differential diagnosis ... #msk