37 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
commonly fractured carpal ... to distal ulna, ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
spacing between all carpal ... associated injuries: distal ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... articulates with the distal ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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Distal radius ... injury, acute carpal ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
commonly fractured carpal ... scaphoid entering distally ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Differential Diagnosis ... Ask about precipitating ... symptoms, post-ictal ... #Diagnosis #EM # ... #Differential #
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
Vasopressors vital ... hypoCa2+ - occult bleeding ... toxicologic - 2nd cause ... #Vasopressors #Differential ... #Causes #RebelEM
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Fracture of distal ... radial shaft with distal ... supination • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... extensor tendon distal ... PIP joint • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Algorithm and Differential ... RBC’s, RBC/WBC casts ... Timing: early (distal ... prostatic) #Diagnosis #EM ... #Macroscopic #Differential