12 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
arthritis if missed ... pain with wrist ... Splint: Volar • 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
onto outstretched hand ... dorsal wrist, pain ... Sugar tong • 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"
onto outstretched hand ... associated injuries: distal ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... ED Management: Pain ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... • Fracture • Arthritis ... • Sciatica • Tarsal ... #differential # ... lower #extremity #msk
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
) - Differential ... process Temporal arteritis ... Cervical spine arthritis ... Cricoarytenoid arthritis ... ear canal • Otoscopic
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... extensor tendon distal ... ED Management: Pain ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
- Arthritis Differential ... weeks) Can Be Caused ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Approach to Joint Pain ... Like in this case ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
very remarkable w/differential ... variably: On one hand ... claudication: pain ... chews, not just pain ... them, but urgent rheumatology