10 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
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 - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... : Acute STEMI, Aortic ... dissection, PE, ... deWinter T waves - starts ... electrocardiogram #cardiology
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
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
Pectoralis Major Rupture Injury during Bench Press Exercise
CLINICAL: a rare injury patterns with typical sudden "tear/pop"
Likely need MRI. ... adduction) and peak ... to competitive sports ... Injury #clinical #video ... #msk #orthopedics
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
risk (>5%): - Aortic ... Intraabdominal - Orthopedic ... one post op Cardiology ... Severe Aortic stenosis ... medical and surgical management
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