Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
commonly fractured carpal ... fractures β€’ ED Management ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
spacing between all carpal ... dislocation β€’ ED Management ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... ) Examination: Pulmonary ... #criticalcare # ... pulmonary #Hypoxia
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
commonly fractured carpal ... dislocation β€’ ED Management ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... injury β€’ ED Management ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Algorithm for Treatment ... β€’ Assess for Pulmonary ... karanpdesai #cteph #management ... #algorithm #cardiology ... #pulmonary #treatment
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
β€’ Hypoxia β€’ Pulmonary ... hypertension Management ... β€’ Oxygen β€’ Treatment ... Tachycardia #MAT #Cardiology ... Diagnosis #ECG #EKG #Management
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... #Embolism #Treatment ... #AcutePE #Management ... #CriticalCare
Total Anomalous Pulmonary Venous Return (TAPVR)
 β€’ Introduction
 β€’ Classification
 β€’ Pathophysiology of TAPVR
 β€’ Presentation
Total Anomalous Pulmonary ... Pre-Operative Management ... Outcomes by Cara ... Total #Anomalous #Pulmonary ... #cardiology #peds
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
RRT leader β€’ Ask ... Assessment: β€’ Ask ... Orders placed, treatments ... Response #Team #RRT #Management ... #treatment #criticalcare