23 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD ... UGIB #GIBleed #Differential ... #Diagnosis #management ... gastrointestinal #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... and Biopsy Differential ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management ... #gastroenterology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
of the hand • Exam ... fractures • 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 ... injuries: Rare • ED ... Management: Pain ... Distal #Radiology #XRay ... #Diagnosis #Management
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
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
outstretched hand • Exam ... dislocation • ED ... Management: Pain ... Carpal #Radiology #XRay ... #Diagnosis #Management
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
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
outstretched hand • Exam ... scaphoid fracture • ED ... Management: Pain ... Elbow #Radiology #XRay ... #Diagnosis #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fingertip) • Exam ... Avulsion fracture • ED ... Management: Pain ... Finger #Radiology #XRay ... #Diagnosis #Management
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
outstretched hand • Exam ... injury (LCL) • ED ... Management: Pain ... Ulnar #Radiology #XRay ... #Diagnosis #Management