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Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Reflux Disease (GERD ... ) - Summary GERD ... chronic cough GERD ... • Refractory GERD ... foods: caffeine, spicy
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
home in a thumb spica ... immobilized • Both lead ... Splint: Thumb spica ... Orthopedics #Sports #MSK
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myocarditis - CAD ... • Gastric: - GERD
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
ve in I, II - LAD ... LBBB, LAFB - RAD ... RBBB (V1/V2 rsr', lat ... (V5/V6 rs, qs; lat ... Short QT <300-360 ms
Algorithm for Acute ED Management of Excited Delirium 

Pearls for Appropriate Restraint:
- 1 person for each
- 1 person to lead ... with oxygen as a spit ... mask to ensure
Wheezing - Differential Diagnosis Framework - Not all that wheezes is asthma
Vibrations of turbulent flow against
or paralysis, GERD ... Mediastinal mass or LAD
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Splint: Thumb spica ... Orthopedics #Sports #MSK
Posterior Shoulder Dislocation on POCUS

The team wasn't sure if shoulder had been reduced. Rather than send
sure if shoulder had ... clinical #ultrasound #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
Splint: Thumb spica ... #Orthopedics #MSK
GERD Phenotypes and Distinguishing Features
 • Non-erosive reflux disease (NERD)
 • Reflux hypersensitivity
 • Functional heartburn
GERD Phenotypes ... reflux disease (NERD ... erosive esophagitis (LA ... 10.1136/bmj.m3786 #GERD