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management radiology msk orthopedics carpal elbow wrist a4c algorithm chf constrictive contusion criticalcare ctchest differential dislocation dissociation distal echocardiogram evaluation
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... of the hand • Exam ... #XRay #Diagnosis ... #Orthopedics #Sports
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
outstretched hand • Exam ... can't make A-OK sign ... Splint: Posterior long ... #XRay #Diagnosis ... #Orthopedics #Sports
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... outstretched hand • Exam ... #XRay #Diagnosis ... #Orthopedics #Sports
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
anterior sail sign ... outstretched hand • Exam ... can't make A-OK sign ... Splint: Posterior long ... #XRay #Diagnosis
Galeazzi Fracture Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... outstretched hand • Exam ... Splint: Posterior long ... Radial #Distal #Radiology ... #XRay #Diagnosis
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Exam showed BP 100 ... /82, HR 74, JVP ... ASA, Kussmaul's sign ... edema, and clear lungs ... #cardiology
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 It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
good history & exam ... Signs of congestion ... Some exam findings ... with presence of pulmonary ... algorithm #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... Change in clinical ... one post op Cardiology ... unless prior heart/lung ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... findings and clinical ... Due to their short ... #Lung #Pulmonary
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