12 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
• ED Management ... MH/CCF/CWRU EM ... #Wrist #Carpal ... #Radiology #XRay ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
MH/CCF/CWRU EM ... #Wrist #Carpal ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (A4C ... demonstrating ECG ... alternans motion ... Echocardiogram #malignant #clinical ... #cardiology #pocus
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... radial styloid fracture ... MH/CCF/CWRU EM ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... MH/CCF/CWRU EM ... Radial #Distal #Radiology ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... MH/CCF/CWRU EM ... #TerryThomas #Wrist ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #MSK
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... Echocardiogram #malignant #clinical ... #cardiology #pocus ... #alternans
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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variable gross wrist ... injury) • ED Management ... MH/CCF/CWRU EM ... Colles #Distal #Radiology ... #Orthopedics #MSK
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
for electrical alternans ... EKG from same patient ... swinging #electrical #alternans ... Echocardiogram #A4C ... #Clinical #Cardiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... joint needs to be clinically ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #Orthopedics #MSK