11 results
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... Posterior long arm • Ortho ... Type l, DC with ortho ... MH/CCF/CWRU EM
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Splint: Volar • Ortho ... MH/CCF/CWRU EM
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... Thumb spica • Ortho ... MH/CCF/CWRU EM
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... Posterior long arm • Ortho ... Simple, DC with ortho ... MH/CCF/CWRU EM
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... Splint: Sling • Ortho ... Type I, DC with ortho ... MH/CCF/CWRU EM
Cold Agglutinin Disease

3 Types of Cold Sensitive Antibodies:
  1. Cold Agglutinins (CAD)
  2. Donath-Landsteiner
Donath-Landsteiner Antibodies[PCH ... - Mycoplasma, EBV ... significance (MGUS ... Hemoglobinuria (PCH
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... supination • Ortho ... MH/CCF/CWRU EM
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Thumb spica • Ortho ... follow-up with PCP ... MH/CCF/CWRU EM
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Encephalitis: MCC ... Herpesviruses (MCC ... virus • CMV • EBV ... Bacterial Meningitis: MCC ... Acute meningeal signs
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Gammopathy Include: • MGUS ... acute HIV, HBV, EBV ... autoimmune hepatitis, PBC ... , PSC, Viral hepatitis ... lung cancers, HCC