25 results
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Midcarpal Instability (MCI ... slightly extended, and ... extensors (ECU, ... #msk #orthopedics ... clinical #video #physicalexam
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... injury • ED Management ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
onto outstretched hand ... dorsum of the hand ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... onto outstretched hand ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... wrist, limited ... Radial #Distal #Radiology ... #XRay #Diagnosis ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... 500 DANGER - Short ... QT <300-360 ms: ... #Approach #ECG ... #EKG #diagnosis
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Freiberg Infraction - MSK ... Radiology Imaging ... factors include: Short ... foot #clinical #mri ... #diagnosis #msk
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
ventricular arrythmias Diagnostics ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology ... #management #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... deWinter T waves - starts ... upsloping ST dep and ... #EKG #diagnosis ... electrocardiogram #cardiology