11 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... - Lung ultrasound ... clinically indicated (e.g ... echocardiogram, EKG ... iBookCC #COVID19 #algorithm
Shoulder X-Ray Interpretation Checklist
1. Assess glenohumeral alignment
2. Outline the proximal humerus
3. Assess acromioclavicular joint and coracoclavicular
Shoulder X-Ray Interpretation ... acromioclavicular joint ... Assess the lung ... #radiology #msk ... #diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Exam: swollen forearm ... Splint: Posterior long ... Radial #Distal #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... Short QT <300-360 ms ... : ↑ca - Long QT ... #ECG #EKG #diagnosis ... #interpretation
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... Splint: Posterior long ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Exam: swollen elbow ... Splint: Posterior long ... #Ulnar #Radiology ... #XRay #Diagnosis ... Orthopedics #Proximal #MSK
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain ... Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g ... Vascular #JointPain #MSK
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... infarct STEMI - J point ... #Ischemia #ECG ... #EKG #diagnosis
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
score to guide an approach ... Ask about: - Changes ... - History - EKG ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung ... stratification #diagnosis