9 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
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 ... 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 ... 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
onto outstretched hand ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #Sports ... #MSK
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
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
) - Differential ... vision or black spots ... the tragus to differentiate ... ear canal • Otoscopic ... Otolaryngology #differential
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
More common after distal ... bloating, abd pain ... inuslin release leading ... Gastric bypass causes ... #diagnosis #differential
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
saliva • Chest pain ... aperistalsis in the distal ... disorders: • Distal ... leading to myenteric ... management #treatment #gastroenterology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... chest pain. ... located chest pain ... intra-abdominal bleeding