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 ... – compartment syndrome ... Management: - ... Overlying wounds or signs ... Hand #Metacarpal #Diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... β€’ ED Management ... : Pain control, ... Radiology #XRay #Diagnosis
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
anatomic snuffbox, pain ... dislocation β€’ ED Management ... : Pain control, ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Signs and Symptoms of Toxidromes

Sympathomimetic / GABAergic withdrawal 
Cholinergic 
Anticholinergic 
Opioid withdrawal 
Neuroleptic malignant syndrome 
Serotonin
Signs and Symptoms ... Neuroleptic malignant syndrome ... Serotonin syndrome ... Sympathomimetics #Diagnosis ... #Toxicology
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... β€’ ED Management ... : Pain control ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Ramsay Hunt Syndrome - Herpes Zoster Oticus 
Triad:
1. Ipsilateral facial paralysis 
2. Ear pain 
3. Vesicles
Ramsay Hunt Syndrome ... Ear pain 3. ... β€’ Stroke syndromes ... HerpesZoster #Oticus #Diagnosis ... #Symptoms #Signs
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... anatomic snuff box, pain ... : Pain control,
Cushing Syndrome - Signs and Symptoms
Generalized: Weight gain, Slow healing of cuts, Increased risk of infections,
Cushing Syndrome ... - Signs and Symptoms ... Generalized: Weight gain ... Increased risk of fractures ... #diagnosis #endocrinology
Supracondylar Elbow Fracture
β€’ Most common elbow fracture in children, peak age 5-7 
β€’ When looking at
anterior sail sign ... ), compartment syndrome ... β€’ ED Management ... : Pain control ... Radiology #XRay #Diagnosis
Boerhaave Syndrome 
Postemesis 
Iatrogenic (most common)
Left Posterolateral most common

Mackler's Triad:
Lower Chest Pain
Vomiting
Subcutaneous Emphysema

#Boerhaave #Syndrome #Diagnosis #Signs
Boerhaave Syndrome ... : Lower Chest Pain ... #Boerhaave #Syndrome ... #Diagnosis #Signs