14 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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
nerve injury • ED ... Management: Pain ... Sugar tong • Ortho ... Radiology #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... dislocation • ED ... Management: Pain ... Thumb spica • Ortho ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures • ED ... Management: Pain ... Splint: Volar • Ortho ... Radiology #XRay #Diagnosis ... #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
injuries: Rare • ED ... Management: Pain ... supination • Ortho ... Radiology #XRay #Diagnosis ... #MSK
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... - Diagnosis and ... Management Summary ... unclear source (in case ... #Diagnosis #Management
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... ligament injury) • ED ... Sugar tong • Ortho ... Radiology #XRay #Diagnosis ... #MSK
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
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... Avulsion fracture • ED ... PIP joint • Ortho ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED ... Thumb spica • Ortho ... Scaphoid #Fracture #Wrist ... Radiology #XRay #Diagnosis ... #Sports #MSK