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management msk orthopedics sports wrist fracture addiction dislocation hand scaphoid algorithm assessment boxers cows differential dissociation drug false initiation inpatient
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
commonly fractured carpal ... to distal ulna, pain ... ED Management: Pain ... #Radiology #XRay ... #Diagnosis #Management
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... anatomic snuffbox, pain ... ED Management: Pain ... #Radiology #XRay ... #Diagnosis #Management
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 ... #Diagnosis #Management
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... associated injuries: Carpal ... ED Management: Pain ... #Radiology #XRay ... #Diagnosis #Management
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
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 ... EDS and/or volar plate ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis
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