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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Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
ED Management: Pain ... Discharge with orthpedic ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... Management #Hand #Orthopedics
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) β€’ Exam: Pain ... Discharge with orthopedic ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... Management #Hand #Orthopedics
Abdominal Pain - Differential Diagnosis According to Localization of Abdominal Pain 

Abdominal pain can originate from
Abdominal Pain - ... Differential Diagnosis ... When diagnosing ... conditions in his ... (Table 2).
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
pneumonia and UIP ... #Diagnosis #Radiology ... #Differential #Table
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 ... predispose to other orthopedic ... common sites: hip ... #differential #diagnosis
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
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
ED Management: Pain ... β€’ If stable ... DC with orthopedic ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
is seen in: - UIP ... Pulmonary edema #Diagnosis ... #Radiology #Pulmonary ... #Differential #Table
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