13 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
commonly fractured carpal ... to distal ulna, ... MH/CCF/CWRU EM ... #Wrist #Carpal ... #Diagnosis #Management
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Algorithm and Differential ... Hematuria Important ... RBC’s, RBC/WBC casts ... Timing: early (distal ... #EM #IM #Urology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... trapezium, capitate, triquetrum ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... onto outstretched hand ... associated injuries: distal ... MH/CCF/CWRU EM ... #Radiology #XRay
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... onto outstretched hand ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
onto outstretched hand ... injury, acute carpal ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Differential Diagnosis ... symptoms, post-ictal ... syncope and their ... #Diagnosis #EM # ... #Differential #Algorithm
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... extensor tendon distal ... MH/CCF/CWRU EM ... Finger #Radiology #XRay ... #Diagnosis #Management
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
Hypertensive Emergency criteria ... mm is needed to cause ... with microscopic hematuria ... encephalopathy (visual ... #Algorithm #CriticalCare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
catheter • Recent dental ... Septic Emboli Cause ... -> TEE • Duke Criteria ... hematuria, + RF ... Treat underlying cause