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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What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
- Pain along ulnar ... weeks Urgent orthopedics ... compromise - Certain radiologic ... Hand #Metacarpal #Diagnosis ... Management #Referral #Orthopedics
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... anatomic snuff box, pain ... ED Management: Pain ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
#Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... Histiocytosis #RadiologyAssistant
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Boxer's Fracture ... ED Management: Pain ... MetroHealth_EM #Boxers ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
#Diagnosis #Radiology ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... LIP #Clinical #Diagnosis ... #Radiology #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... ED Management: Pain ... Discharge with orthopedic ... Wrist #Carpal #Radiology ... #XRay #Diagnosis
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
ED Management: Pain ... Disposition: Pending orthopedic ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... Management #Hand #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... ED Management: Pain ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 β€’ Mechanism: ischemic pain
 β€’ Can present
of Bone/Joint Pain ... Vaso-occlusive pain ... Generally affects long bones ... predispose to other orthopedic ... #differential #diagnosis