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msk orthopedics carpal fracture cardiology differential scaphoid algorithm chf clinical contusion criticalcare ctchest dislocation dissociation endocarditis evaluation foamed forearm galeazzi
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... pain with wrist ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... associated injuries: distal ... 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 ... articulates with the distal ... #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 ... #Radiology #XRay ... #Diagnosis #Management
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
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
catheter • Recent dental ... CA • Involves aortic ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... #management #cardiology
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 poor perfusion ... Signs of congestion ... with presence of pulmonary ... ECG is vital while ... #algorithm #management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... risk (>5%): - Aortic ... undergoing AAA or upper abdominal ... medical and surgical management ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... Several of the diagnoses ... Due to their short ... consider intra-abdominal ... #Radiology #CTChest
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