Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Amsterdam Wrist ... Painful balottement test ... radius #fracture #radiology ... #msk #orthopedics ... #diagnosis
Urination on Fetal Ultrasound

Lest we forget, here is a vivid reminder that amniotic fluid is predominantly
Urination on Fetal Ultrasound ... Lest we forget ... Urine #Urination #Ultrasound ... #POCUS #Obstetrics ... #Radiology #Clinical
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injury • ED Management ... #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
Ratio Step 1: Clinical ... with a focused clinical ... probability based on clinical ... #ultrasound #management ... #diagnosis
Hydronephrosis Grading
Grade I - Pelviectasis 
Grade II - Caliectasis (Major Calyces)
Grade III - Caliectasis (Minor Calyces)
Grade
Thinning - POCUS ... grades #nephrology #radiology ... #ultrasound #pocus ... #clinical #diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Diagnosis? ... Management? ... Echocardiogram #ultrasound ... #Cardiology #PLAX ... #clinical
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... Radial #Distal #Radiology ... #XRay #Diagnosis ... #MSK
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
interpret them in clinical ... Point Of Care UltraSound ... (POCUS) to CT or ... #Diagnosis #Radiology