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msk orthopedics radiology wrist algorithm clinical criticalcare differential endocarditis foamed fracture infectiousdiseases scaphoid b12 chf cobalamin deficiency dislocation dissociation echocardiogram
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
commonly fractured carpal ... fractures • ED Management ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... dislocation • ED Management ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... dislocation • ED Management ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... injury • ED Management ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
hypoxia and organ ischemia ... large total body stores ... Check for IF ab Treatment ... consider other diagnosis ... #management #nutrition
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
nodes • Roth’s spots ... Early embolic/ischemic ... Differential Diagnosis ... Endocarditis Diagnosis ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... & Dry) is the treatment ... #algorithm #management ... #cardiology #treatment ... icu #clinical #pharmacology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... cannot, coronary ischemia ... #diagnosis #algorithm ... #management #clinical ... criticalcare #foamed #treatment
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Histoplasmosis Diagnosis ... Histoplasmosis Treatment ... , with ensuing ischemia ... Inhalation of spores ... #Management #Infections
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... one post op Cardiology ... events or death (CARP ... medical and surgical management ... stratification #diagnosis
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