10 results
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
- Pain along ulnar ... compromise - Certain radiologic ... Compromise of growth plate ... #Boxers #Fracture ... Hand #Metacarpal #Diagnosis
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
Common Hand Fractures ... tendon Volar plate ... Boxer's fracture ... #XRay #Radiology ... #differential #diagnosis
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Boxer's Fracture ... ED Management: Pain ... open wound, must update ... #Metacarpal #Radiology ... #XRay #Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... anatomic snuff box, pain ... ED Management: Pain ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Infraction - MSK Radiology ... Controversy: Subchondral fracture ... • Pain worsens ... similar location of pain ... mri #clinical #Radiology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... fingertip) • Exam: Pain ... a concomitant fracture ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... patient was having pain ... attributed to opiate ... Withdrawal #Scale #Buprenorphine ... #Score #Diagnosis
Medications that Can Cause False Positives on Drug Tests

Urine drug screens (UDSs) are simple to use,
efavirenz (Sustiva) • Pain ... • Coca tea Buprenorphine ... • Verapamil Opioids ... and opiates false ... #differential #diagnosis
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Quick Guide: Buprenorphine ... Support for Hospital Opioid ... Use Treatment (SHOUT ... ) #Buprenorphine ... Management #Addiction #Opiate
Intermetatarsal Bursitis - MSK Radiology
Imaging Findings:
 • T2-hyperintense fluid-like signal and T1-hypointense signal between the first
Bursitis - MSK Radiology ... chronic plantar pain ... was for stress fracture ... Differential diagnosis ... #diagnosis #msk