18 results
Monoarthritis - Differential Diagnosis
Infection (Acute):
 - S. aureus (most common)
 - S. pneumonia
 - Salmonella (in
species - Lyme disease ... Usually involves the knee ... involve the b/l wrists ... IBD, reactive arthritis ... , psoriatic arthritis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
functional deficit and arthritis ... ulna, pain with wrist ... fractures • ED Management ... consult: No • Disposition ... #Orthopedics #Sports
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... injury • ED Management ... consult: Yes • Disposition ... XRay #Diagnosis #Management ... #Orthopedics #Sports
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
joints (shoulders, wrists ... • Underlying disease ... Monosodium urate deposition ... forefoot, ankles, knees ... , fingers, wrist
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... dislocation) • Disposition ... #TerryThomas #Wrist ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pyrophosphate Deposition ... joints (shoulders, wrists ... often involves the wrists ... Pyrophosphate #Deposition ... #diagnosis #management
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
Diagnosis and Management ... Painless) Purulent Arthritis ... Distal joints, knees ... , wrists, ankles ... gonorrhea #Diagnosis #Management
Six-step approach to ultrasound-guided central venous catheter placement

I. Identify anatomy of insertion site and localization of
Six-step approach to ultrasound-guided ... variations • Use short ... Use compression ultrasound ... #CentralLine #Ultrasound ... Catheter #Venous #Management
Chondrocalcinosis: Calcium Pyrophosphate Dihydrate (CPPD) Deposition Disease

 - Acute CPPD precipitation into the joint space ->
Dihydrate (CPPD) Deposition ... Disease - Acute ... (especially in knees ... polyarticular arthritis ... affected — e.g., wrist
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED Management ... dissociation) • Disposition ... Scaphoid #Fracture #Wrist ... XRay #Diagnosis #Management ... #Orthopedics #Sports