8 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... injury • ED Management ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Carpal #Radiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... fractures • ED Management ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... Triquetrum #Fracture #Wrist
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 ... MH/CCF/CWRU EM ... #TerryThomas #Wrist ... XRay #Diagnosis #Management
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... injury, acute carpal ... injury) • ED Management ... Sugar tong • Ortho ... MH/CCF/CWRU EM
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED Management ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... XRay #Diagnosis #Management
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... supination • Ortho ... MH/CCF/CWRU EM ... XRay #Diagnosis #Management
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
variants of both • Acral ... • Subcutaneous dissecting ... Schistocytes, helmet cells ... causes #treatment #management
Spontaneous Echo Contrast ("Smoke") on IVC POCUS

Sagittal view of IVC returning blood to RA caudal —>
returning blood to RA caudal ... —> cephalad direction ... within IVC is called ... POCUS #clinical #ultrasound