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diagnosis msk orthopedics radiology sports wrist scaphoid dislocation dissociation evaluation fracture heartfailure hfref perilunate preop preoperative risk scapholunate schf stratification
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... immobilize • Splint: Thumb ... x-rays MH/CCF ... #Radiology #XRay ... #Diagnosis #Management
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
dislocation • ED Management ... immobilize • Splint: Thumb ... 1 week 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 ... injury • ED Management ... repair MH/CCF ... #Radiology #XRay ... #Diagnosis #Management
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
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
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