14 results
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
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
posterolateral, peak ... fracture • ED Management ... Dislocation #Posterior #Radiology ... #Orthopedics #Sports ... #MSK
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... : Acute STEMI, Aortic ... dissection, PE, ... #Ischemia #ECG ... electrocardiogram #cardiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
space >3 mm on PA ... follow-up with orthopedics ... Scaphoid #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
production to cause ... Nuclear SPECT ($$$), PET ... CT/MRI ($$$$) ... Stress #Testing #cardiology ... #management #diagnosis
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... 500 DANGER - Short ... QT <300-360 ms: ... #Approach #ECG ... electrocardiogram #cardiology
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... syncope, can be caused ... cardiomyopathy and aortic ... #ECG #Diagnosis ... #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Prolonged R wave peak ... Post-cardioversion • Acute aortic ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
What causes ECU ... tendon, MRI or ... subluxation #clinical #physicalexam ... #video #Orthopedics ... #Wrist #msk
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology