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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Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
opioids for pain management ... indication #Management ... #Pharmacology # ... Indications #Pathways #Table ... #MSK #Migraine
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
β€’ If stable ... DC with orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Proximal #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
β€’
the most common orthopedic ... injury) β€’ ED Management ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures β€’ ED Management ... Discharge with orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fracture β€’ ED Management ... Discharge with orthpedic ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
fracture β€’ ED Management ... Complex, pending orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
motion β€’ ED Management ... Disposition: Pending orthopedic ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injury β€’ ED Management ... Disposition: Pending orthopedic ... 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"
Thomas" sign to diagnosis ... follow-up with orthopedics ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Gamma hydroxybutyrate (GHB) - Toxicology

Clinical presentation
 - Symptoms of GHB toxicity include: short term anterograde amnesia,
hydroxybutyrate (GHB) - Toxicology ... Hydroxybutyrate #GHB #Toxicology ... #Toxicity #Diagnosis ... #Management #Pharmacology