25 results
Procalcitonin Guided Antibiotics in Sepsis

Efficacy and Safety of Procalcitonin Guidance in Patients With Suspected or Confirmed
Nicholas Zimick, MD, MS ... Antibiotics #Sepsis #VisualAbstract ... #EBM #Management
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
• Nonoperative managernent ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Proximal #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fracture • ED Management ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
ProCESS Investigator - A Randomized Trial of Protocol-Based Care for Early Septic Shock

N Engl J Med
septic shock was diagnosed ... Protocol #Sepsis #VisualAbstract ... #Threshold #EBM ... #Management
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures • ED Management ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Dislocation - ED Management ... glenoid) • ED Management ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Sports #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
motion • ED Management ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injury • ED Management ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Lymphohistiocytosis (HLH) Pathophysiology ... Auto-amplification loop Diagnosis ... biologics (CMV +++, EBV ... Lymphohistiocytosis #diagnosis ... #management #treatment