11 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... wrist flexion and extension ... injuries: Perilunate dislocation ... ED Management: Pain ... Carpal #Radiology #XRay
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
anatomic snuff box, pain ... with wrist extension ... ED Management: Pain ... follow-up with orthopedics ... Carpal #Radiology #XRay
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... of the extensor tendon ... Discharge with orthopedic ... IPJoint #Radiology #XRay ... Management #Hand #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... with wrist extension ... radial styloid fracture ... ED Management: Pain ... Carpal #Radiology #XRay
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
- Differential ... Embolism (e.g. fractured ... Trauma to Vessel (dislocation ... Diagnosis #Algorithm #Orthopedics ... #Causes
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... Finger deformity caused ... terminal extensor tendon ... ED Management: Pain ... Finger #Radiology #XRay
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... - Differential ... e.g„ Myofascial Pain ... Diagnosis #Algorithm #Orthopedics ... #Causes
Soft Tissue Lesions - Differential Diagnosis Algorithm 
Septic
 • Septic Bursitis
 • Necrotizing Fasciitis
 • Septic
Tissue Lesions - Differential ... • Sprain • Dislocation ... Bone • Fracture ... Diagnosis #Algorithm #Orthopedics ... #Causes
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
anterior horn gray ... involved) - Tendon ... involved in deep tendon ... Vertebral burst fracture ... syndromes #lesions #differential
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
classically purple abdominal ... , pathological fractures ... suspected: chest x-ray ... and/or CT, abdominal ... signs #symptoms #endocrinology