51 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, ... 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
articulate with the distal ... Sugar tong • 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 #
Positive Lachman test in ACL Injury

Here is an exam of a patient under anesthesia with an
That causes the ... #PhysicalExam #Sports ... #Ortho #anterior ... cruciate #ligament #msk
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
associated injuries: distal ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #Sports ... #MSK
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
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
Occult Causes of ... Vasopressors vital ... hypoCa2+ - occult bleeding ... #Vasopressors #Differential ... #Causes #RebelEM
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
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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Distal Radius Fracture ... Distal radius ... Sugar tong • 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