10 results
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... ), ligamentous injury ... Splint: Posterior long ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... anterior sail sign ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... brachial artery injury ... Splint: Posterior long ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
onto outstretched hand ... syndrome, ligamentous injury ... Splint: Posterior long ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... Splint: Posterior long ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
fat pad (sail sign ... a significant injury ... head and neck should ... Xrays #Radiology #peds ... #Pediatrics #clinical
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Hyperextension injury ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... , and clear lungs ... echocardiogram to workup ... Echocardiogram #a4c ... #pocus #clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Medical history ... Change in clinical ... Intraabdominal - Orthopedic ... unless prior heart/lung ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Vital signs: BP ... This patient’s clinical ... clinical judgement