11 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... #TerryThomas #Wrist ... #Management #Orthopedics ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... injury • ED Management ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... fractures • ED Management ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Complications • Avascular ... Scaphoid #Fracture #Wrist ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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variable gross wrist ... injury, acute carpal ... tunnel syndrome ... Radiology #XRay #Diagnosis ... #MSK
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
Symmetric macular ... Albuminuria, nephrotic syndrome ... ulcerated • MSK ... Aortitis, ascending thoracic ... #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Peripheral vascular ... upper abdominal/thoracic ... events or death (CARP ... medical and surgical management ... stratification #diagnosis
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
- Differential Diagnosis ... carcinoma • Thoracic ... history • Smoking status ... vision or black spots ... #differential #diagnosis
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
mimic the “Starved state ... breakdown of glycogen stores ... for Refeeding Syndrome ... #diagnosis #differential ... #algorithm #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... sex • Metabolic syndrome ... knees, fingers, wrist ... Dual-energy CT → MSU ... • 1 attack + stage