Gerardo Hernandez @DrGerardoHernandez
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Interests: teaching, Community Medicine, underserved communities, mentorship
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Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Boxer's Fracture ... MetroHealth_EM #Boxers ... Thumb #Metacarpal #Radiology
Salter-Harris Classification
Salter-Harris Fractures involve the physis and cartilaginous epiphyseal plate near the ends of the long
ends of the long bones
Atrial Fibrillation - Rate Control and Rhythm Control - Management

Infographic by Dr. Pouria Rezapour @prezapour 

#Atrial
Cardioversion #Emergency #Cardiology
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
Inhibits Glucagon -> Lowers
Atrial Fibrillation - Management Principles

1) TREAT ANY IDENTIFIED PRECIPTANT(S) 
2) RATE OR RHYTHM CONTROL 
3) ANTICOAGULATION
Management #Emergency #Cardiology
Loop diuretic PO --> IV conversions 

Furosemide 40 mg PO = Furosemide 20 mg IV =
#Pharmacology #Cardiology
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
PIRATES #Emergency #Cardiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet #Finger #Radiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Wrist #Carpal #Radiology
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Dislocation #Anterior #Radiology