13 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
with the distal radius ... with the distal radius ... , triquetrum), radial ... repair MH/CCF ... Wrist #Carpal #Radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Scapholunate Dissociation ... diagnosis scapholunate dissociation ... injuries: distal radius ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
for diagnosis of CHF ... PhysicalExam #Clinical #Video ... #JVP #VolumeStatus ... #Cardiology #HJR
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow Dislocation ... lateral epicondyle > radial ... + radial head fracture ... recommendations MH/CCF ... #Posterior #Radiology
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
Diagnostic Likelihood Ratios ... heart failure • JVD ... Examination #chf ... #cardiology #heartfailure
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... injury, elbow dislocation ... recommendations MH/CCF ... Fracture #Elbow #Radiology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Interphalangeal Joint Dislocation ... Interphalangeal joint dislocations ... ligaments (prevent radial ... 1 week MH/CCF ... #IPJoint #Radiology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ulnar shaft with radial ... head dislocation ... head dislocation ... repair MH/CCF ... Forearm #Ulnar #Radiology
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
waves indicate AV dissociation ... #PhysicalExam #JVP ... #Clinical #Video ... #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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of right-sided HF ... physicalexam #clinical #video ... #jvp #cardiology