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radiology msk management orthopedics xray carpal clinical wrist avulsion cardiogenic classification contusion ctchest differential dislocation dissociation distributive elbow endocarditis features
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Triquetral Fracture ... most commonly fractured ... common carpal bone fracture ... radius or ulna fractures ... #XRay #Diagnosis
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
humerus; simple = no fracture ... , complex = fracture ... associated injuries: Fractures ... + radial head fracture ... coronoid process fracture
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... distal radius fracture ... , scaphoid fracture ... unless associated fracture ... #Orthopedics #Sports
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... heart valves • MRI ... often seen • MRI ... #Endocarditis #comparison ... #table
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis ... #Features #Signs
Inflammatory Myopathies Dermatomyositis • Onset: Subacute • Pattern: Proximal • CK: Up to 50X ULN • Autoantibodies:
Anti-MDA5, anti-Mi ... heliotrope, shawl sign ... : Diagnosis of exclusion ... #comparison #rheumatology ... #table
Freiberg Infraction - MSK Radiology Imaging Findings: • Sclerosis of the 2nd MT head with flattening of
Controversy: Subchondral fracture ... factors include: Short ... for secondary signs ... foot #clinical #mri ... #diagnosis #msk
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL) • Imaging Findings: • Large defect of the
BHAGL): Avulsion fracture ... GAGL): "Reverse J sign ... shoulder #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism In contrast to the
Features That Differentiate ... pain, such as MI ... Pericarditis #Symptoms #Signs ... #Presentation #comparison ... #Table #Diagnosis
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 Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... Rib Fractures Rib ... fractures, though ... of rib fracture ... with rib fractures
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