56 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
The triquetrum ... fractured carpal bone ... common carpal bone ... fractures • ED Management ... XRay #Diagnosis #Management
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
perforated duodenal ulcer ... perforated duodenal ulcer ... as shown in the case ... worry about rare case ... Robert Jones @RJonesSonoEM
Treatment Options for Helicobacter Pylori and Peptic Ulcer Disease

Active Helicobacter pylori—associated ulcer
1. Treat with anti—H pylori
Pylori and Peptic Ulcer ... pylori—associated ulcer ... Active ulcer not ... Consider other causes ... PUD #Treatment #Management
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD Causes ... Bleed: • Peptic Ulcer ... Differential #Diagnosis #management
Paget's Disease of Bone

 • Characterized by an ↑ rate of bone turnover with both excessive
Paget's Disease of Bone ... by an ↑ rate of bone ... and formation of bone ... • Caused by ( ... #diagnosis #management
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
marine microbiota & causes ... months temperate zones ... 10% Crab, few cases ... bullae to necrotic ulcers ... legs #clinical #photo
Great Mimickers - SHALLOTS Mnemonic

S- Syphilis - Neurosyphilis, aortitis, gummas... Granulomas can form anywhere! Skin, mucosa,
mucosa, joints, bones ... What doesn't HIV cause ... edema, dyspnea, ulcers ... splenomegaly, cytopenias, nausea ... consumption- number one cause
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
treated, in most cases ... vessels, liver, bones ... syphilis #clinical #photo
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework Bone ... /Joint Causes of ... Hematoma Venous Causes ... Inflammation: Wounds/ulcers ... nails - Skin ulcers
Neuropathic Ulcer: Severe diabetes induced neuropathy has resulted in Charcot foot deformity.
This ultimately lead to large
Neuropathic Ulcer ... large painless ulcer ... swelling as well as boney ... destruction caused ... Images #Clinical #Photo