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
to opioids for pain ... Pain pathways by ... #Management #Pharmacology ... Indications #Pathways #Table ... #MSK #Migraine
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 ... Radiology #XRay #Diagnosis ... #Sports #MSK
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 ... Radiology #XRay #Diagnosis ... #Proximal #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
ED Management: Pain ... 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
dorsal wrist, pain ... ED Management: Pain ... 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 ... anatomic snuff box, pain ... ED Management: Pain ... #Management #Orthopedics ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
ED Management: Pain ... 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
Management: Simple, pain ... Complex, pending orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
anatomic snuffbox, pain ... ED Management: Pain ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
prophylactic antibiotic treatment ... ED Management: Pain ... Radiology #XRay #Diagnosis ... Management #Hand #Orthopedics ... #MSK