9 results
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
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
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
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
injury, acute carpal ... Sugar tong • Ortho ... Radius #Fracture #Forearm ... Radiology #XRay #Diagnosis ... #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
swollen elbow and forearm ... injury (LCL) • ED ... I or Ill) • Ortho ... Radiology #XRay #Diagnosis ... #Proximal #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED ... Management: Pain ... Thumb spica • Ortho ... Radiology #XRay #Diagnosis ... #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
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
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Fibrinolysis → End ... variants of both • Acral ... #Coagulation #diagnosis ... causes #treatment #management ... #hematology