11 results
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Evaluation and Management ... Gastrointestinal Bleeding ... #EM #GI #Bleed ... Resuscitation #Differential ... #Algorithm #Ddxof
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD Causes ... Disease • Variceal Bleeding ... UGIB #GIBleed #Differential ... #Diagnosis #management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injury • ED Management ... Sugar tong • Ortho ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Carpal #Radiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... Splint: Volar • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Carpal #Radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... Thumb spica • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Scaphoid #Carpal #Radiology
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
pronation and at wrist ... supination • Ortho ... of DRUJ MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Radial #Distal #Radiology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... injury) • ED Management ... Sugar tong • Ortho ... /CWRU EM Res @MetroHealth_EM ... Colles #Distal #Radiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... PIP joint • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Mallet #Finger #Radiology
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Thumb spica • Ortho ... x-rays MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
the determined cause ... #diagnosis #differential ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf