14 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... /CWRU EM Res @MetroHealth_EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
AMS, SOB from CHF ... , Chest Pain • ... #bradycardia #diagnosis ... #differential #management ... #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... Fulminant: - Acute HF ... #Myocarditis #diagnosis ... #management #cardiology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
repair MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... #Proximal #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... /CWRU EM Res @MetroHealth_EM ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
of DRUJ MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Radial #Distal #Radiology ... #XRay #Diagnosis ... #MSK
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... : weight gain, lung ... Chest x-ray: signs ... → no signs of CXR ... #management #cardiology
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
Splint: Posterior long ... /CWRU EM Res @MetroHealth_EM ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Splint: Posterior long ... /CWRU EM Res @MetroHealth_EM ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK