7 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... functional deficit and arthritis ... "pooping duck sign ... ulna, pain with wrist ... #Wrist #Carpal
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... #Dissociation #TerryThomas ... #Wrist #Scaphoid ... #XRay #Diagnosis
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest x-ray ... distress without x-ray ... Pneumothorax, pulmonary ... Gastrointestinal (GI) gas pattern ... trauma #diagnosis #signs
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... small joints (wrists ... Swelling notable on Xray ... boggy" joints, esp carpal ... fingers, radial wrist
Hand X-Ray Anatomy and Interpretation Checklist
1. Soft tissues - Look carefully at the soft tissue over
into the hand and wrist ... the trabecular pattern ... In case of a fracture ... of arthritis. ... proximal to the carpal
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... GCA (Giant Cell Arteritis ... nonspecific white and gray ... matter changes ... and often causes arthritis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... non-threatening pulmonary ... chest radiograph pattern ... Pulmonary Contusion ... CTChest #Lung #Pulmonary