10 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... 1 week MH/CCF ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... 1 week MH/CCF ... #XRay #Diagnosis ... #Sports #MSK
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... → no signs of CXR ... #heartfailure #diagnosis ... #management #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Decompensated HF ... (< 5% pts with afibb ... #diagnosis #management ... #cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... repair MH/CCF ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
x-rays MH/CCF ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... fracture • ED Management ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... structural and vascular ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest