11 results
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 ... #Radiology #XRay ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... ED Management: Pain ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
anatomic snuffbox, pain ... ED Management: Pain ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... ED Management: Pain ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Freiberg Infraction - MSK ... Radiology Imaging ... • Pain worsens ... similar location of pain ... #diagnosis #msk
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
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
ED Management: Pain ... open wound, must update ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and the solar plate ... fingertip) • Exam: Pain ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK