17 results
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
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... associated injuries: distal ... dislocation • ED ... Thumb spica • Ortho ... #Sports #MSK
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
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
injury, acute carpal ... ligament injury) • ED ... Sugar tong • Ortho ... Radiology #XRay #Diagnosis ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... dislocation • ED ... Thumb spica • Ortho ... Radiology #XRay #Diagnosis ... #Sports #MSK
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Disease • Variceal Bleeding ... UGIB #GIBleed #Differential ... #Diagnosis #management ... gastrointestinal #gastroenterology
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
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
and Management ... • Should be on differential ... may undergo EGD ... Sensitivity of EGD ... inspection of the distal
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... Avulsion fracture • ED ... PIP joint • Ortho ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
olecranon fracture, distal ... scaphoid fracture • ED ... Management: Pain ... Radiology #XRay #Diagnosis ... #MSK