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Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
• EM appears 7-14 days at the

Early and Late Clinical ... Localized • EM ... days-weeks after EM ... - Normal CSF ... - CSF + Lyme

POCUS B-Lines #Clinical #EM #PCC #Radiology #POCUS #BLines #CHF

POCUS B-Lines #Clinical ... #EM #PCC #Radiology ... POCUS #BLines #CHF

Lung POCUS for Diagnosis of CHF - Visual Abstract
What is the accuracy of combined Lung Ultrasound

for Diagnosis of CHF ... Ultrasound (LUS) and clinical ... 20.9 - LR- 0.07 CXR ... lung #ultrasound #CHF

Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female

Consider BCx, CSF ... diagnosed with CXR ... Diagnosis #Peds #EM

Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM

Management Summary Clinical ... Ciprofloxacin OR Imipenem Clinical ... cervical, anal Cxs ... results *** MH/CCF ... /CWRU EM Res @MetroHealth_EM

Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels

In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization

Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint

- MH/CCF/CWRU ... EM Res @MetroHealth_EM ... Echocardiogram #clinical

Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,

Fraction (HFrEF) Clinical ... 81% for acute HF ... 5 pts w/ acute HF ... → no signs of CXR ... #pharmacology #sCHF

Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which

lateral wrist XR ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM

Pleural effusion is not always visible as a meniscus in the costophrenic angle.
A subpulmonic effusion

with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural

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