8 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(A4) Apical 4 Chamber ... of the septum #Clinical ... #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Right Atrial RCC Tumor Metastasis on POCUS Echocardiogram - A4C
47yo M with new SOB.  Known
Right Atrial RCC ... Metastasis on POCUS ... Apical 4&5 chamber ... #clinical #cardiology ... #A4C
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Hyperflexion injury with axial ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
• Mechanism: Axial ... • Ortho consult ... MH/CCF/CWRU EM ... Thumb #Metacarpal #Radiology ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Ortho consult ... follow-up with PCP ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #Sports #MSK
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
• Mechanism: Axial ... • Ortho consult ... MH/CCF/CWRU EM ... Thumb #Metacarpal #Radiology ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Hyperextension injury with axial ... Finger splint • Ortho ... MH/CCF/CWRU EM ... Dislocation #IPJoint #Radiology ... #MSK
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC ... determine if stress test ... Change in clinical ... Intraabdominal - Orthopedic ... one post op Cardiology