13 results
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED Management ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
radius fracture, scaphoid ... follow-up with orthopedics ... #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Carpal fracture (scaphoid ... 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 ... events, all (most) ECG ... Disadvantages: Short ... Devices #Comparison #cardiology ... #management #holter
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Algorithm that ... Ask about: - Changes ... (+LR 2.6) - Cardiac ... - History - EKG ... #cardiology #Angina
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
small boxes) - HiPR ... QT <300-360 ms: ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Differential Diagnosis Algorithm ... Legg-Calve-Perthes Disease Knee ... Disease • Patella (e.g ... Deformity #Limp #MSK ... #Orthopedics #Causes
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Orthopedic Splints, Casts, Plasters, Traction and Frames
Upper Limb and Spine 
 • DUNLOP TRACTION: Used in
Orthopedic Splints ... scoliosis • SCAPHOID ... and knee • BÖHLER ... rotational instability e.g ... #management #hardware
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... Intraabdominal - Orthopedic ... one post op Cardiology