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orthopedics carpal wrist dislocation scaphoid contusion ctchest dissociation elbow endocarditis evaluation finger forearm galeazzi mallet perilunate perioperative posterior preop preoperative
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... MH/CCF/CWRU EM Res ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... onto outstretched hand ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Galeazzi Fracture Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Fracture of distal ... onto outstretched hand ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... onto outstretched hand ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... associated injuries: distal ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
• ED Management ... MH/CCF/CWRU EM Res ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... verrucous) • Lung ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... Change in clinical ... one post op Cardiology ... unless prior heart/lung ... surgical management
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... clinical judgement ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary
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