11 results
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
Fractures on X-Ray ... tendon Volar plate ... Hand #Fractures #XRay ... #Radiology #Wrist ... #differential #diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... with wrist flexion ... ED Management: Pain ... #Carpal #Radiology ... #XRay #Diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... , pain with wrist ... ED Management: Pain ... #Carpal #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 ... with wrist extension ... ED Management: Pain ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... ED Management: Pain ... Radial #Distal #Radiology ... #XRay #Diagnosis
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
anatomic snuffbox, pain ... ED Management: Pain ... Scaphoid #Fracture #Wrist ... #Carpal #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
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