13 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Amsterdam Wrist ... pain after any ... radius #fracture #radiology ... #msk #orthopedics ... #diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, pain with wrist ... ED Management: Pain ... #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... ED Management: Pain ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... with wrist flexion ... #Carpal #Radiology ... #XRay #Diagnosis ... 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
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
pronation and at wrist ... ED Management: Pain ... Radial #Distal #Radiology ... #XRay #Diagnosis ... #Orthopedics #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
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
ED Management: Pain ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
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