9 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Causes of Upper ... Disease • Variceal Bleeding ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures • ED ... Splint: Volar • Ortho ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
dislocation • ED ... Thumb spica • Ortho ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED ... Thumb spica • Ortho ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
nerve injury • ED ... Sugar tong • Ortho ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
injury, acute carpal ... Sugar tong • Ortho ... Distal #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... PIP joint • Ortho ... Finger #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
1) Ask for en ... assessing ABCs 4) Diagnose ... intervention (EGD ... the underlying cause ... Gastrointestinal #gastroenterology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Fibrinolysis → End ... Treat primary cause ... #Coagulation #diagnosis ... #causes #treatment ... #management #hematology