27 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
space >3 mm on PA ... • ED Management ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Rhythm (AIVR) on EKG ... complexes >120 ms ... from 50-110 beats per ... AIVR #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injury • ED Management ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
findings in acute PE ... evaluating for other causes ... supporting evidence of PE ... AcutePE #diagnosis #cardiology ... #electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... not supply the PDA ... Wraparound #LAD #STEMI ... #EKG #clinical ... #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... Aortic dissection, PE ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
• ED Management ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... • Peak age 4-10 ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... #Proximal #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
injuries: Perilunate dislocation ... fractures • ED Management ... Wrist #Carpal #Radiology ... #Management #Orthopedics ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
posterolateral, peak ... fracture • ED Management ... #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK