13 results
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
leads indicates atrial ... injury. stage 2 ... inverted #Diagnosis #EM ... #IM #Cardiology ... #EKG #Pericarditis
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... : Hyperflexion injury ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
), ligamentous injury ... • Terrible triad ... MH/CCF/CWRU EM ... Dislocation #Posterior #Radiology ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... , median nerve injury ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... Orthopedics #Sports #MSK
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... root, and left atrium ... Michael Macias, EM ... Northwestern University #Clinical ... #EM #Radiology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Hyperextension injury ... with axial load ... MH/CCF/CWRU EM ... Dislocation #IPJoint #Radiology ... #Orthopedics #MSK
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
And Proteinuria (e.g ... evidence of organ injury ... finding of organ injury ... diagnosis so have high clinical ... htn #obstetrics #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... ) EM resident ... Cardiomyopathy #HOCM #HCM #clinical ... echocardiogram #plax #cardiology
Hemothorax after Thoracentesis - Unfortunately, hemothorax developed shortly after the procedure (Panel B). Computed tomography and
to iatrogenic arterial ... injury (Panel C ... embolization (Panel D) #Clinical ... #Radiology #Hemothorax ... #CXR #CT #Angiogram