12 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... ulna, pain with wrist ... #Carpal #Radiology ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... box, pain with wrist ... Scaphoid #Carpal #Radiology ... #Sports #MSK
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign ... Echocardiogram - PSAX Positive ... highly specific for pulmonary ... infarct & acute chest ... PSAX #clinical #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... V2 • Wellens sign ... pain • Wellens sign ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... SOB from CHF, Chest ... Pads in AP position ... bradycardia #diagnosis #differential ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... Marantic (NTBE) Differential ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... #diagnosis #differential ... algorithm #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... #Diagnosis #cardiology