33 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... injury • ED Management ... #Carpal #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Midcarpal Instability (MCI ... The proximal carpal ... extensors (ECU, ... ECRB) The distal carpal ... #msk #orthopedics
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... injuries: Rare • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... injury, acute carpal ... injury) • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Hand Nerve Injuries - Common Presentations
 • Wrist Drop - Radial Nerve Injury
 • Claw Hand
Presentations • Wrist ... Drop - Radial Nerve ... Injuries #Anatomy #Differential ... #Diagnosis #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... dislocation, distal radius ... fractures • ED Management ... Triquetrum #Fracture #Wrist ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... injuries: distal radius ... #TerryThomas #Wrist ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
commonly fractured carpal ... dislocation • ED Management ... Scaphoid #Fracture #Wrist ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Differential Diagnosis of Pericardial Effusion

Trauma
Pericarditis
Recent MI
Autoimmune 
Neoplastic 
Endocrine/Metabolic 
Venous Congestion 
Medications 

- Dr. Tom Fadial https://twitter.com/thame

#Pericardial
Differential Diagnosis ... Pericarditis Recent MI ... Tom Fadial https ... Pericardial #Effusion #Differential ... #Diagnosis #Management
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... electrolytes, CXR, ECG ... (might include cranial ... CSF, thyroid, MRI ... AlteredMentalStatus #Delirium #Management