10 results
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... CHD, congenital ... hypertension; CXR ... , chest X-ray; HPAH ... #Diagnosis #Peds
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... 1 week MH/CCF ... #Finger #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... fevers Female > male ... Consider BCx, CSF ... with CXR, obtain ... #Peds #EM #Classification
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
radiocapitellar lines), fat pads ... recommendations MH/CCF ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
radiocapitellar lines), fat pads ... recommendations MH/CCF ... Fracture #Elbow #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... repair MH/CCF ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
dislocation, due to EDS ... extensor tendon), mallet ... 1 week MH/CCF ... #XRay #Diagnosis ... #Orthopedics #MSK
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... Sex: female > male ... survival is 93-95% Pathophysiology ... e.g. incidental CXR ... anterior/posterior MSK
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... risk Chest X-ray ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
A 39-year-old male ... African American male ... (CXR), try rotating ... not seen on a CXR ... #Radiology #CTChest