7 results
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 ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... Carpal fracture (scaphoid ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
entering distally ... onto outstretched hand ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #Sports #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
onto outstretched hand ... olecranon fracture, distal ... elbow dislocation, scaphoid ... MH/CCF/CWRU EM ... #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 ... #IM #Urology #Hematuria
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
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Ask about precipitating ... symptoms, post-ictal ... syncope and their ... #Diagnosis #EM # ... Algorithm #Ddxof