20 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... nerve injury • ED ... Management: Pain ... #Carpal #Radiology ... #XRay #Diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... injuries: Rare • ED ... Management: Pain ... #Radiology #XRay
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... dislocation, distal radius ... fractures • ED ... Management: Pain ... #Management #Orthopedics
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... injury, acute carpal ... ligament injury) • ED ... Management: Hematoma ... Distal #Radiology #XRay
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... injuries: distal radius ... dislocation • ED ... Management: Pain ... #Radiology #XRay
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED ... Management: Pain ... Scaphoid #Fracture #Wrist ... #XRay #Diagnosis ... #Management #Orthopedics
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
at an elbow x-ray ... scaphoid fracture • ED ... Management: Pain ... Elbow #Radiology #XRay ... #Diagnosis #Management
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD ... UGIB #GIBleed #Differential ... #Diagnosis #management ... gastrointestinal #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... and Biopsy Differential ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management ... #gastroenterology
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
small joints (wrists ... Swelling notable on Xray ... boggy" joints, esp carpal ... drift of fingers, radial ... wrist deviation