32 results
Pathyophysiology - hyperglycemic crises in patients with diabetes 
Key signs/symptoms of HHS/DKA:
Both: Polyuria, polydipsia, weight loss,
diabetes Key signs ... seizure) #Pathophys #EM ... Endo #DKA #HHS #Ddxof
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Ask about precipitating ... #Diagnosis #EM # ... Differential #Algorithm #Ddxof
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... Orthopedics #Sports #MSK
Combination of Skin Findings and Arthritis in Pediatrics Patient - Differential Diagnosis
Malar rash: 
 • A
hyperpigmented rim ... with elevated rim ... not be seen try focus ... migrans: • Target sign ... Reactive Arthritis (ReA
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... Orthopedics #Sports #MSK
Maculopapular - Diagnostic Algorithm
Pathophysiology:
- Catch-all term with a wide range of potential pathophysiologic mechanisms and causative
identification of red-flags ... Ill-appearing, vital sign ... #Differential #Ddxof
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... wrist, limited ROM ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... #Orthopedics #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... elbow, limited ROM ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... #Orthopedics #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... MH/CCF/CWRU EM ... Res @MetroHealth_EM ... #Orthopedics #MSK
Anterior Shoulder Dislocation: Pathogenesis, clinical, and radiographic findings

Trauma, Fall on, outstretched arm, Overhead throwing => Abduction
rests against rim ... Dislocation #Diagnosis #signs ... #symptoms #msk