19 results
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Exam: swollen forearm ... and wrist, limited ... pronation and at wrist ... injuries: Rare • ED ... Management: Pain
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... ligament injury) • ED ... Management: Hematoma ... #Fracture #Forearm ... Distal #Radiology #XRay
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
with the distal radius ... nerve injury • ED ... Management: Pain ... Carpal #Radiology #XRay ... #Diagnosis #Management
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 ... #Diagnosis #Management
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ulnar shaft with radial ... and missing the radial ... swollen elbow and forearm ... injury (LCL) • ED ... Ulnar #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 ... Carpal #Radiology #XRay
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
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED ... Management: Pain ... Scaphoid #Fracture #Wrist ... Carpal #Radiology #XRay ... #Diagnosis #Management