18 results
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 ... Triquetrum #Fracture #Wrist ... #Orthopedics #Sports
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
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... dislocation • ED Management ... #TerryThomas #Wrist ... XRay #Diagnosis #Management ... #Orthopedics #Sports
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
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
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... of hands/feet, knees ... narrowing) • Ultrasound ... exam and imaging Treatment ... #diagnosis #management
TISSUE APPEARANCES ON 
MUSCULOSKELETAL ULTRASOUND 

Bone:
 
Bone is represented as a very bright structure and appears
MUSCULOSKELETAL ULTRASOUND ... Nerve: Ultrasound ... of hypoechoic spots ... median nerve in the carpal ... infrapatellar bursa of the knee
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 • Epidemiology: -10% of all lupus cases, drug-dependent,
Constitutional symptoms, Arthritis ... constitutional symptoms • Treatment ... Discontinuation of causal ... life-threatening • Treatment ... Usual therapeutic management
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
joints (shoulders, wrists ... often involves the wrists ... atypical locations: Wrist ... Acute Pseudogout: Treatment ... Rheumatology #diagnosis #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... forefoot, ankles, knees ... , fingers, wrist ... frequent attacks • Arthritis ... not possible • Ultrasound