10 results
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
fevers Female > male ... Consider BCx, CSF ... hypoxemia) or rales ... #Peds #EM #Classification ... SeriousBacterialIllness #Ddxof
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
fracture • ED Management ... recommendations MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Radiology #XRay ... #Diagnosis #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Radiology #XRay ... #Diagnosis #Management
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
syndrome • ED Management ... recommendations MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Humerus #Radiology ... #XRay #Diagnosis
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
fracture • ED Management ... /CWRU EM Res @MetroHealth_EM ... #Posterior #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Exam: swollen elbow ... • If stable ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A per minute=rate ... are enough to diagnose ... “clinical electrophysiology ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
extensor tendon), mallet ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis ... #Management #Hand
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
include Crackles/Rales ... #algorithm #management ... #cardiology #treatment ... #table #foamed ... #heartfailure #chf
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
benefits of POCUS in diagnosing ... for definitive management ... EM Res @MetroHealth_EM ... Tamponade #POCUS #clinical ... ultrasound #trauma #cardiology