12 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
The triquetrum ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
Terry thomas sign Triquetral ... Hand #Fractures #XRay ... #Radiology #Wrist ... #differential # ... diagnosis
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... diagnosis includes ... • Classic EKG ... #ekg #differential ... #cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
trapezium, capitate, triquetrum ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
deWinter T waves - starts ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
assoc with 1K, AV ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... depression in aVR ... depression in aVR ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... Marantic (NTBE) Differential ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... nodes • Roth’s spots ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #Diagnosis #cardiology