13 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Cardiomyopathy (HOCM ... Serial trops (-) EM ... Admit ==> Positive stress ... echocardiogram #plax ... #cardiology #pocus
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... • ED Management ... MH/CCF/CWRU EM ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
- ED Management ... glenoid) • ED Management ... MH/CCF/CWRU EM ... #Anterior #Radiology ... #XRay #Diagnosis
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Diagnosis? ... Management? ... Motion #LVOTO #SAM #HOCM ... #ultrasound #Cardiology ... #PLAX #clinical
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
fracture • ED Management ... MH/CCF/CWRU EM ... #Posterior #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
• ED Management ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
injuries: Perilunate dislocation ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injury • ED Management ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... the radial head dislocation ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
tendon) • ED Management ... MH/CCF/CWRU EM ... #IPJoint #Radiology ... #XRay #Diagnosis ... #Management #Hand