10 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... septal #defect #ASD ... #clinical #cardiology ... #pocus #shunting
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac POCUS ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology ... #A4C #Large
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
at an elbow x-ray ... radiocapitellar lines), fat pads ... #Elbow #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
at an elbow x-ray ... radiocapitellar lines), fat pads ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... radial styloid fracture ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... dislocation, due to EDS ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... #a4c #intrapulmonary ... #cardiology #saline
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... Cataract Plan for Meds ... one post op Cardiology ... risk Chest X-ray ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Several of the diagnoses ... This post will focus ... (CXR), try rotating ... not seen on a CXR ... #Radiology #CTChest