9 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
onto outstretched hand ... dorsum of the hand ... MH/CCF/CWRU EM ... #Radiology #XRay ... #MSK
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Cardiomyopathy (HOCM ... Serial trops (-) EM ... #HCM #clinical ... echocardiogram #plax ... #cardiology #pocus
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Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Orthopedics #Sports ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Orthopedics #Sports ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management ... #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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injury, acute carpal ... injury) • ED Management ... MH/CCF/CWRU EM ... Colles #Distal #Radiology ... #Orthopedics #MSK
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Management? ... Motion #LVOTO #SAM #HOCM ... #ultrasound #Cardiology ... #PLAX #clinical
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Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #Hand #Orthopedics ... #MSK
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... Intraabdominal - Orthopedic ... one post op Cardiology ... events or death (CARP ... surgical management