7 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• ED Management ... immobilize • Splint: Thumb ... 1 week MH/CCF ... #Radiology #XRay ... #Diagnosis #Management
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... • ED Management ... x-rays MH/CCF ... #Radiology #XRay ... #Diagnosis #Management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... repair MH/CCF ... #Wrist #Carpal ... #Radiology #XRay ... #Diagnosis #Management
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
injuries: Perilunate dislocation ... fractures • ED Management ... 1 week MH/CCF ... #Radiology #XRay ... #Diagnosis #Management
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... the radial head dislocation ... [cannot extend thumb ... repair MH/CCF ... #XRay #Diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... → no signs of CXR ... endomyocardial biopsy Pharmacology ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... determine if stress test ... one post op Cardiology ... events or death (CARP ... medical and surgical management