22 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
of the hand • Exam ... ulna, pain with wrist ... fractures • ED ... Management: Pain ... Carpal #Radiology #XRay
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
outstretched hand • Exam ... nerve injury • ED ... Management: Pain ... Carpal #Radiology #XRay ... #Diagnosis #Management
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
outstretched hand • Exam ... pronation and at wrist ... injuries: Rare • ED ... Management: Pain ... Distal #Radiology #XRay
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
outstretched hand • Exam ... box, pain with wrist ... dislocation • ED ... Management: Pain ... Carpal #Radiology #XRay
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Algorithm Upper ... Consult GI ± EGD ... #Algorithm #gastrointestinal ... #gastroenterology
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
outstretched hand • Exam ... dislocation • ED ... Management: Pain ... Scaphoid #Fracture #Wrist ... Carpal #Radiology #XRay
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... for GIM management ... Endoscopic surveillance exam ... GIM #diagnosis #management ... #gastroenterology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
outstretched hand • Exam ... variable gross wrist ... ligament injury) • ED ... Management: Hematoma ... Distal #Radiology #XRay
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Dislocation - ED ... Management The ... extended arm • Exam ... Management: Analgesia ... Anterior #Radiology #XRay
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
outstretched hand • Exam ... compartment syndrome • ED ... Management: Pain ... Humerus #Radiology #XRay ... #Diagnosis #Management