9 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... outstretched hand • Exam ... box, pain with wrist ... #TerryThomas #Wrist ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
outstretched hand • Exam ... 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
of the hand • Exam ... ulna, pain with wrist ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
outstretched hand • Exam ... : swollen forearm ... and wrist, limited ... Radiology #XRay #Diagnosis ... #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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outstretched hand • Exam ... variable gross wrist ... injury, acute carpal ... Radius #Fracture #Forearm ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
outstretched hand • Exam ... Scaphoid #Fracture #Wrist ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
good history & exam ... which augment forward ... #diagnosis #differential ... #algorithm #management ... heartfailure #chf #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC algorithm ... events or death (CARP ... medical and surgical management ... stratification #diagnosis
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
Starvation Ketosis (SK ... In both SK and AK ... #diagnosis #differential ... #algorithm #management ... #treatment #criticalcare