9 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... pain with wrist ... 1 week MH/CCF ... #Carpal #Radiology ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
associated injuries: distal ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... repair MH/CCF ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... swollen forearm and wrist ... pronation and at wrist ... of DRUJ MH/CCF ... #Radiology #XRay
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... risk (>5%): - Aortic ... undergoing AAA or upper abdominal ... medical and surgical management
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... < 30 years • Aorta ... Arteritis): • Aorta ... claudication, visual ... gut involvement, abdominal
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... with presence of pulmonary ... ECG is vital while ... differential #algorithm #management ... #heartfailure #chf
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... Due to their short ... consider intra-abdominal ... #Radiology #CTChest ... #Lung #Pulmonary