AirLeak schematic hematoma

How a Chest Tube Drainage System Works

Bottle 1: Fluid Collection. This is a simple collection bottle

WaterSeal #PleurEvac #AirLeak ... #WallSuction #Schematic

Penile Hematoma on POCUS
This young male presented with what complaint?
...
Young adult male with penile hematoma, swelling

Penile Hematoma ... male with penile hematoma ... Labeled Schematic ... EUSmkh #Penile #Hematoma

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Nephron Schematic Map - Colombia Nephrology

#Nephron #Nephrology #Pathophysiology #Overview #Tubules #Duct #LoopOfHenle #Diuretics #Schematic #Map

Nephron Schematic ... LoopOfHenle #Diuretics #Schematic

Rough schematic outline of the arterial tree

Dr. Amanyu @melodicscalpel

#Arterial #Tree #Arteries #Artery #Map #Schematic #Outline

Rough schematic ... #Artery #Map #Schematic

Intracranial Hemorrhages (ICH)

Epidural Hematoma vs Subdural Hematoma vs Subarachnoid Hemorrhage vs Intraparenchymal Hemorrhage

#Diagnosis #Radiology #Comparison #ICH

ICH) Epidural Hematoma ... vs Subdural Hematoma ... Intracerebral #Hemorrhage #Hematoma

Subdural Hematoma Evacuation - Neurosurgery

Ron Barbosa MD @rbarbosa91

#Subdural #Hematoma #Evacuation #clinical #video #intraoperative #neurosurgery

Subdural Hematoma ... #Subdural #Hematoma

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Pulsating Epidural Hematoma ... #Epidural #Hematoma

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Pulsating Epidural Hematoma ... #Epidural #Hematoma

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Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension. Has

Adrenal hematoma ... Right adrenal hematoma ... Labeled Schematic ... RJonesSonoEM #Adrenal #hematoma

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Subdural Hematoma Evacuation

#Subdural #Hematoma #Evacuation #neurosurgery #intraoperative #clinical #video

Subdural Hematoma ... #Subdural #Hematoma

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Splenic Laceration
Most commonly injured organ in BLUNT abdominal trauma
Grade I
- Laceration < 1

- Subcapsular hematoma ... Subcapsular or central hematoma ... Subcapsular or central hematoma ... Subcapsular or central hematoma

Cardiogenic shock schematic

VVECMO #Diagram #Schematic

Schematic of Pathways

Schematic Diagram

Schematic classification of interstitial lung diseases according to aetiology. The finding of histological usual interstitial pneumonitis

Schematic classification ... LungDisease #Pulmonary #Schematic

Traumatic Splenic Hematoma on LUQ FAST Exam

31 yo M. Minor blunt trauma from bicycle accident. No

Traumatic Splenic Hematoma ... closely, hyperechoic hematoma ... eabramsMD #Splenic #Hematoma

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adjustment guidance - Schematic

Pediatric Skull Fracture with Associated Hematoma on POCUS

Working with the challenges of risk stratification, management of

with Associated Hematoma ... Skull #Fracture #Hematoma

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Clinical Presentation of Conditions That Mimic Cellulitis and True Cellulitis

- Deep Vein Thrombosis
-

dermatitis - Hematoma

Intracerebral hemorrhages (ICH) - Subdural, Epidural, Subarachnoid Comparison

Subdural hematoma
• Crescent-shaped
• Blood collection between dura

Comparison Subdural hematoma ... prone Epidural hematoma

Blunt Trauma Kidney Laceration on POCUS
- 23 y/o man presented with RUQ ~ epigastric pain
-

/c perinephric hematoma ... POCUS #Clinical #Hematoma

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Schematic examples

is a simplified schematic

Dematome map in

Labeled Schematic

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Bleeding manifestations
Petechiae are small, flat, red, discrete areas of skin bleeding that are typically <2

Hematoma is a collection ... Hematomas and hemarthroses ... thrombocytopenia #Hematomas

FAST Exam in a Blunt Trauma patient with Shattered Spleen

1. Know your US anatomy
2. Beware of

Spleen #Shattered #Hematoma

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Function Grading - Schematic

ABG vs VBG: Arterial vs Venous Blood Gases

ABG
PROS: Tells you exactly what the arterial environment looks

risk of bleeding, hematoma

Mass: Subdural Hematoma

Isolated Hyperbilirubinemia - Differential Diagnosis Algorithm
Direct Hyperbilirubinemia: Dubin-Johnson Syndrome, Rotor Syndrome
Indirect Hyperbilirubinemia:
- Trauma, Hematoma,

Hyperbilirubinemia: - Trauma, Hematoma

Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic
N - Neurologic

Hemorrhage, Subdural hematoma ... , epidural hematoma

Deep Vein Thrombosis Ultrasound Pocket Card
Deep Vein Thrombosis Scanning Sites:
• Common Femoral Vein
•

Pseudoaneurysms • Groin Hematoma

Differential Diagnosis of Transient Ischemic Attack and Stroke
- TIA/stroke
- Seizure
- Hypoglycemia/hyperglycemia

encephalitis. subdural hematoma

Lymphangitis on the Abdomen - Examination revealed a warm, indurated plaque with extension toward her left

A schematic diagram

Causes of Ovarian Mass - Differential Diagnosis Algorithm
Hyperplastic:
• Polycystic ovary
• Endometrioid cyst
Functional:
• Follicular

Neoplasm: • Mature teratoma ... Dysgerminoma • Immature teratoma

Signs and Symptoms Associated With Different Headache Etiologies
• Nonfocal mental status changes - Meningitis, encephalitis,

SAH, subdural hematoma ... Stroke, subdural hematoma ... , epidural hematoma

Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.

Labeled Schematic

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Implantation-Related: Pocket hematoma

Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
• Hemolysis
• Ineffective Erythropoiesis
• Hematoma
Decreased

Erythropoiesis • Hematoma

Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.

cm) Labeled Schematic

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CATCH Predictors for Clinically Significant TBI
- GCS Less than 15 at 2 hours post

Large, boggy scalp hematoma

Causes of Post-Partum Fever - Differential Diagnosis Algorithm
6 W's for causes of PPF
- Wind: pneumonia,

Episiotomy • Abscess/Hematoma

Hemothorax on Lung POCUS with Spine Sign

GSW to left chest. Perisplenic window focusing on lower

Labeled Schematic

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Lung Injury model schematic

Gastroschisis on POCUS

Common ED complaint--VB/OB. G1P0. No heart tones heard so POCUS done.

Labeled Schematic

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Leg Hematoma (secondary to anticoagulation) on POCUS

An 80yo with h/o afib presents with distal leg pain

Leg Hematoma (secondary ... Labeled Schematic ... EUSmkh #Leg #Hematoma

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TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat

Labeled Schematic

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A schematic life

Causes of Dementia / Cognitive Impairment - Differential Diagnosis Algorithm

Affecting Multiple Domains
• Depression
• Delirium
Decline

Tumor • Subdural Hematoma

Proptosis and Chemosis caused by Cavernous Sinus Fistula on Ocular Exam

This 73 presented for blurred, double

resulting in subdural hematoma

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Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
• Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,

Retro-orbital hematoma

4 T’s Mnemonic for Causes of Post-Partum Hemorrhage (PPH)

Tone (70%):
- Uterine Atony
- Tx: Massage,

- Lacerations, Hematomas

Causes of Pediatric Wheezing - Differential Diagnosis Algorithm
CXR Abnormal:
• Pulmonary Sequestration
• Congenital Adenoid Cystic

Neuroblastoma • Teratoma

Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
• Anaphylaxis
• Foreign

compression (e.g., hematoma

Cauda Equina Syndrome
Causes:
• Large lumbar degenerative disc herniation (central)
• Severe lumbar spondylosis
• Neoplasm

Trauma or epidural hematoma

Rectus Sheath Hematoma on POCUS
Older male on apixaban for treatment of DVT presents with abdominal pain

Rectus Sheath Hematoma ... rectus sheath hematoma ... Rectus #Sheath #Hematoma

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Subungual Hematoma on POCUS

Q: This patient presented with thumb pain. What is your best management option?
Resolution:

Subungual Hematoma ... this sublingual hematoma ... Labeled Schematic ... #Subungual #Hematoma

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Tubal Ectopic Pregnancy on Transvaginal Pelvic Ultrasound

A 31yo female s/p tubal ligation presents with right lower

Labeled Schematic

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Schematic representation

Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm

Brain Involvement - Hemispheric

fracture • Subdural hematoma

Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
• Adhesions: Postoperative, Congenital,

stricture, Intramural hematoma

Causes of Scrotal Mass - Differential Diagnosis Algorithm
Painful - Sudden Onset
• Testicular Torsion
• Torsion

cell Seminoma, Teratoma

Mercedes Benz sign
Radiological sign, a triradiate radiolucent shadow, characteristic of the automobile maker's trademark. In case

including subdural hematoma

Major neurocognitive disorders (MNCD): Diagnosis and workup

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)

1.5%) : tumors, hematoma

• Thymoma • Teratoma

Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm
Blood Loss: >500mL post vaginal delivery OR >1000 mL

Vaginal laceration / hematoma

$Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •$

ED Management: Hematoma

Traumatic Perisplenic Retroperitoneal Hematoma on POCUS

Young male with fall from 20 feet. Soft vitals, LUQ/flank

Retroperitoneal Hematoma ... retroperitoneal hematoma ... had extensive hematoma ... Labeled Schematic ... Retroperitoneal #Hematoma

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Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
- Breathing in enclosed or confined

middle-aged Subdural hematoma ... anticoagulation Epidural hematoma

Aortic intramural haematoma on ultrasound

Aortic intramural haematoma belongs to the spectrum of acute aortic syndrome -

Aortic intramural haematoma ... Aortic intramural haematoma ... Aortic #intramural #hematoma

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Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
- Secreting

Infarction - Hamartoma

Suprapatellar Hematoma on POCUS
Before knee arthrocentesis, be sure fluid is inside joint. Hypoechoic suprapatellar lesion, partly

Suprapatellar Hematoma ... Haematoma in anticoagulated ... Suprapatellar #Hematoma

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Causes of Hypotonic Infant (Floppy Newborn) - Differential Diagnosis Algorithm
Central Nervous System - Decreased LOC, Axial

Trauma • Hematoma

Causes of Pseudocellulitis - Differential Diagnosis Framework for Cellulitis Mimics

Cellulitis: Deep skin and subcutaneous fat infection

Pseudo

thrombophlebitis • Hematoma

Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to

Labeled Schematic

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$Boxer's Fracture - ED Management Be sure to assess for wounds in patients with fractures of the$

needed (using hematoma

Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
• Onset/Trimester: 25-32 weeks
• Typical clinical features:

Hepatic infarcts, Hematomas

Mediastinal Mass - Differential Diagnosis
Anterior Mediastinal Mass:
• Thymus (Thymoma, carcinoma, hyperplasia, cyst)
• Lymphoma
•

Germ Cell tumors: Teratoma

Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
• Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,

hemolytic reactions, hematoma

Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
• Bleeding
• Recent history

Subcutaneous dissecting hematoma

Neck Mass - Differential Diagnosis Algorithm
Congenital Neck Mass:
• Thyroglossal Duct Cyst
• Branchial Cleft Anomalies

Dermoid Cyst • Teratoma

Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
• R >

hemolysis, bleeding, hematoma

Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
• Fracture
• Arthritis
• Gout/pseudogout

Hepatitis • Hematoma

Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
• Dental abscess
• Ludwig's angina
• Vincent's angina
• Cellulitis
•

Ocular trauma/hematoma

Severe Hydronephrosis on POCUS

Based on this clip, which of the following is most likely abnormal?
Resolution: creatinine

Labeled Schematic

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Lung Nodule - Differential Diagnosis Algorithm
Nodule on > 2 Years Without a Change in Size:
•

Hamartoma, Lipoma

Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
• Prevalence: 1:33,000-100,000 ppl/yr
• Incidence: 1.5-3.4 million ppl/yr
•

sequestration • epidural hematoma

Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury:
• Hepatic vein:

hemolysis, bleeding, hematoma

Hilum Overlay Sign on Chest X-Ray
If a mass is in contact with the pulmonary vessels then,

anterior mediastinal teratoma

Gallbladder Perforation with pericholecystic abscess on POCUS

Patient with RUQ pain/fever. Answer in thread. holecystitis/impacted stone

Labeled Schematic

►

Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic

Herniated disc - Hematoma

Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia
- Pain that originates from the ear

causes (subdural hematoma

Acromegaly - Diagnosis and Management Summary - GrepMed Handbook

Clinical Presentation:
• Classic Acromegaly: frontal

(hypothalamic hamartoma

Common MRI Sequences - Basic MRI Brain Interpretation

• T1 Sequence - T1 is for anatomy.

Tumors, hematomas

large subungual hematoma

Broncholithiasis - Differential Diagnosis Framework

• Also known as: Lung stones, pulmoliths, pneumoliths, bronchial calculi
•

Endobronchial hamartoma

Thymic neoplasm • Teratoma

Pancreas on Abdominal POCUS

What structure is anterior to the splenic vein in this clip?
Resolution: The pancreas

Labeled Schematic

►

The schematic diagrams

Perirenal Retroperitoneal Hemorrhage on POCUS

Elderly male with hypotension/abd pain. Perihepatic window shown. Diagnosis?
Answer: Patient

Labeled Schematic ... Retroperitoneal #Hemorrhage #Hematoma

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Pocket Hematoma after Pacemaker Placement
A rare, but can't-miss complication from pacemaker placement. Low incidence (1-9%) overall,

Pocket Hematoma ... ~50% of these hematomas ... Exploration is needed if hematoma ... in all pocket hematomas ... blakebriggsMD #Pocket #Hematoma

Urothelial Thickening on Renal POCUS
Teenager (female) with flank pain and fever. POCUS to evaluate for

Labeled Schematic

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Gastrocnemius Hematoma - POCUS Guided Drainage
Volleyball Player with a huge hematoma after muscle injury

Dr Jörg Dünkel

Gastrocnemius Hematoma ... Player with a huge hematoma ... Gastrocnemius #Hematoma

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How to Drain a Subungual Hematoma

#Hand #Fingernail #Subungual #Hematoma #Drain #Instructions #Management #Emergency

Drain a Subungual Hematoma ... Fingernail #Subungual #Hematoma

Scalp Hematoma and Cellulitis: Central hematoma with rim of surrounding cellulitis, the result
of blunt head trauma.

Charlie

Scalp Hematoma and ... Cellulitis: Central hematoma ... #Skin #Scalp #Hematoma

Subdural Hematoma Evacuation via Burr Hole

#Subdural #Hematoma #Evacuation #BurrHole #clinical #video #intraoperative #neurosurgery #Burr #hole #SDH

Subdural Hematoma ... #Subdural #Hematoma

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Subdural Hematoma ... #Subdural #Hematoma

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Biceps Rupture and Hematoma on POCUS

Dr. Ana Segura @anaseguragrau

#Biceps #Rupture #Hematoma #POCUS #MSK #ultrasound #clinical

Biceps Rupture and Hematoma ... Biceps #Rupture #Hematoma

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Intramural dissection with hematoma on Echocardiogram

Mehnaz Rahman, M.D. @MehnazRahmanMD

#Intramural #dissection #hematoma #cardiac #myocardial #Echocardiogram #A4C #pocus

dissection with hematoma ... Intramural #dissection #hematoma

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Retrobulbar Hematoma and Guitar Pick Sign on Ocular POCUS
Which of the following is NOT present in

Retrobulbar Hematoma ... shows retrobulbar hematoma ... #Retrobulbar #Hematoma

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Biceps Tendon Rupture and Hematoma on Point or Care Ultrasound (POCUS)

Anticoagulated guy bruises to arm and

Tendon Rupture and Hematoma ... tendon rupture w hematoma ... Biceps #Tendon #Hematoma

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Rectus abdominis IM hematoma CT vs US

Dr. John Pester @drjohnpester

#Rectus #abdominis #intramuscular #hematoma #clinical #pocus #ultrasound

Rectus abdominis IM hematoma ... intramuscular #hematoma

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Arm Intramuscular Hematoma at site of heparin injection on POCUS

Dr. Daniel Opazo @TaotePOCUS

#Arm #Intramuscular #Hematoma #pocus

Intramuscular Hematoma ... Intramuscular #Hematoma

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Pericardial hematoma on Echocardiogram after PCI- CTO RCA

Dr. Milica Stefanovic @MilicicaStefano

#Pericardial #hematoma #PCI #postcath #s4c

Pericardial hematoma ... #Pericardial #hematoma

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Shoulder Infraspinatus Hematoma on POCUS

A woman fell down a flight of stairs and can’t move her

Infraspinatus Hematoma ... is seen with a hematoma ... Infraspinatus #Hematoma

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Intrapericardial Hematoma on POCUS Echocardiogram - S4C
Patient with worsening chest pain 1 week after discharge for

Intrapericardial Hematoma ... TEE-intrapericardial hematoma ... Intrapericardial #Hematoma

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Intrapericardial Hematoma on POCUS Echocardiogram - PLAX
Patient with worsening chest pain 1 week after discharge for

Intrapericardial Hematoma ... TEE-intrapericardial hematoma ... Intrapericardial #Hematoma

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Tongue Hematoma: The result of over anticoagulation and minor trauma.

Charlie Goldberg, M.D. - UCSD Catalog of

Tongue Hematoma: ... Tongue #Trauma #Hematoma

Subdural Hematoma Drainage

Note the difference in velocity of drainage by the size of hole in dura.

#SDH

Subdural Hematoma ... SDH #Subdural #Hematoma

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Bladder hematoma causing ureteral obstruction
Male presents 1 day after ureteroscopy/stone extraction (5 mm distal uvj stone)

Bladder hematoma ... Answer: Patient has hematoma ... patients develop hematoma ... RJonesSonoEM #Bladder #hematoma

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Spontaneous Retropharyngeal Hematoma - Radiography of the neck revealed marked soft-tissue swelling that was causing mass

Retropharyngeal Hematoma ... retropharyngeal hematoma ... Retropharyngeal #Hematoma

Retrobulbar hematoma, causing orbital compartment syndrome, is a rapidly progressive vision threatening emergency. Lateral canthotomy is

Retrobulbar hematoma ... #Retrobulbar #hematoma

Splenic Rupture and Hematoma on POCUS

Clip shows a hematoma where you would otherwise see the spleen.

Splenic Rupture and Hematoma ... Clip shows a hematoma ... Splenic #Rupture #Hematoma

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Subpulmonic Hematoma on Lung POCUS
Pt with hemothorax with clotted blood (subpulmonic). Could easily be confused with

Subpulmonic Hematoma ... #Subpulmonic #Hematoma

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Intramuscular Calf Hematoma on POCUS
80 y/o older man. CAD + DAPT. Working on fishing boat.

Intramuscular Calf Hematoma ... Intramuscular hematoma ... Intramuscular #Calf #Hematoma

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Rectus Abdominis Sheath Hematoma on POCUS
Elderly female with patulous multiparous abdomen, asthma exacerbation with bouts of

Abdominis Sheath Hematoma ... Rectus sheath hematoma ... Abdominis #Sheath #Hematoma

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Ultrasound guided hematoma puncture of a complete rectus femoris rupture. Under evaluation for acptendo as non

Ultrasound guided hematoma ... femoris #rupture #hematoma

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Auricular Hematoma Aspiration

Very common in contact sports. Correct treatment prevents the appearance of complications and

Auricular Hematoma ... #Auricular #Hematoma

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Coronary Perforation and Epicardial Hematoma on Catheterization and Echocardiogram

A rare presentation of coronary artery perforation

Ivan Stankovic,

and Epicardial Hematoma ... Perforation #Epicardial #Hematoma

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In patients with retrobulbar hematoma, as the globe is compressed its shape develops from round to

with retrobulbar hematoma ... #Retrobulbar #Hematoma

$Scalp Hematoma and Fractures on POCUS POCUS to assess for skull fractures can be quite reassuring for$

Scalp Hematoma and ... EmergOmBur #Scalp #Hematoma

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Rectus Sheath Abdominal Wall Hematoma on patient on warfarin

A 53yo female presents with LLQ abdominal pain

Abdominal Wall Hematoma ... rectus sheath hematoma ... Abdominal #Wall #Hematoma

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Traumatic Testicular Hematoma and Contusion on Scrotal Ultrasound
Pt had a fall with right testicular trauma one

Traumatic Testicular Hematoma ... Traumat #Testicular #Hematoma

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Traumatic lingual hematoma

Subungual Hematoma Anatomy on POCUS

- MATRIX (M)
- echogenic NAIL PLATE, including its ventral (VP) and its

Subungual Hematoma ... this sublingual hematoma ... #Subungual #Hematoma

Differential Diagnosis: New-Onset Seizure in the Elderly

STRUCTURAL:
• Stroke/TIA, Subdural hematoma, mass
• Traumatic Brain Injury

/TIA, Subdural hematoma ... leading to subdural hematomas ... Chronic Subdural Hematomas

Calf Muscle Hematoma on POCUS

50 year old male playing tennis felt a pop in his leg.

Calf Muscle Hematoma ... EUSmkh #Calf #Hematoma

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Schematic of the

Traumatic Spleen Hematoma on POCUS
Peds blunt abd trauma is scary.. A reminder why #POCUS negative for

Traumatic Spleen Hematoma ... DrShukla14 #Spleen #Hematoma

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$Hematoma block on POCUS for a distal radius fracture. Procedures: better with POCUS. Some applications that aren't taught$

Hematoma block on ... @mackendc #Hematoma

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of retrobulbar hematoma

Schematic representation

POCUS Labeled Schematic

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POCUS Labeled Schematic

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Echocardiogram Labeled Schematic

►

POCUS Labeled Schematic

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POCUS Labeled Schematic

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Anisotropy secondary to nonperpendicular angle between tendon & ultrasound beam seen at left of the screen

Labeled Schematic

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Bladder Diverticulum on Transverse Bladder POCUS

Bladder diverticuli increase the risk for bladder stones, UTI, and vesicoureteral

Labeled Schematic

►

Contracted gallbladder and gallstones -> Wall (gb wall) Echo (stone) Shadow (from stone) complex aka WES

Labeled Schematic

►

$Pelvic Hematoma on POCUS Fall w pubic ramus fracture. Pelvis FAST. Not all free fluid is simple$

Pelvic Hematoma ... mackendc #Pelvic #Hematoma

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The Monro-Kellie Doctrine Regarding Intracranial Compensation for Expanding Mass.
The volume of the intracranial contents remains constant.

mass such as a hematoma ... volume of the hematoma

ratty tendon with hematoma

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Quadriceps tear muscle tear seen on POCUS. The tendon remains intact- no rupture

Dr. Michael Schick

QuadricepsTear #Patellar #Hematoma

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Labeled Schematic

►

Schematic: https

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Acromioclavicular (AC) Joint Separation on POCUS with overlying hematoma

40yo M presents after falling off his bicycle

with overlying hematoma ... the overlying hematoma

►

with overlying hematoma ... the overlying hematoma

►

muscle tear & hematoma

►

$Child with boggy scalp hematoma? #POCUS shows break in cortex with step off = skull fracture.$

with boggy scalp hematoma

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Penile Foreign Body in the Urethra seen on POCUS

Resolution: Successful urethral FB “removal” via urination after

Labeled Schematic

►

Beaver Tail Liver
Anatomical variant with an enlarged left lobe which wraps around the spleen
-

mimic splenic hematoma

This is what a carotid artery dissection looks like on US when blood in the false

bright crescent is hematoma

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Anterior chamber hematoma

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Anterior Shoulder Dislocation on POCUS

Ultrasound probe footprint sitting posteriorly, indicator pointing to humeral head, on this

Labeled Schematic

►

Acalculous cholecystitis on POCUS (often associated with elevated LDH & abdominal pain) and a plethoric IVC

Labeled Schematic

►

Appendicitis on POCUS

What is your diagnosis?
Resolution: appendicitis (criteria >6mm, noncompressible, blind-ended, no peristalsis). When diagnosed by

Labeled Schematic

►

IUD on Transvaginal Pelvic Ultrasound
Which of the following is shown on this clip?
Resolution: Endometrial foreign body

Labeled Schematic

►

Small Bowel Obstruction from Indirect Inguinal Hernia on POCUS

SBO from this patient's large irreducible indirect inguinal

inguinal hernia Schematic

►

Myositis on POCUS
Which of the following is the best choice for management for this patient?
Resolution: steroids

Labeled Schematic

►

Hyperemia of Orchitis on Doppler POCUS
Which diagnosis does this clip support?
Resolution: Orchitis. Hyperemia of testicle

Labeled Schematic

►

Severe Mitral Stenosis on Transesophageal Echocardiogram
Spontaneous contrast 'smoke' in the left atrium
AF + stasis = huge

hockey stick" sign schematic

►

$POCUS for distal radius fracture reduction confirmation. Avoid unnecessary check x-ray trips by confirming reduction using$

Also - hematoma

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Fournier's gangrene on POCUS

This pt w/ Fournier's gangrene is most likely diabetic. Nec Fasc us findings

Fluid Labeled Schematic

►

URI) Timeline Schematic

Renal Pelvis Stone on POCUS

4th grade female with right mid abdominal pain. Brought from school.

Labeled Schematic

►

Ruptured Groin Pseudoaneurysm on POCUS
Patient presents with right groin pain and swelling.
Answer: Ruptured pseudoaneurysm with

with surrounding hematoma

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$Sternal Fracture on Ultrasound Sternal fractures are not seen on x-ray. Here you can see the step-off$

the step-off and hematoma

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Tonsillitis WITHOUT abscess on POCUS

A patient presents with pain in this area. What is your next

Labeled Schematic

►

Acalculous cholecystitis on POCUS

This otherwise healthy 40yo female presents with RUQ pain.
Case resolution(acalculous cholecystitis): up

acalc) Labeled Schematic

►

Medullary Nephrocalcinosis on Renal POCUS

Female with right flank pain. Diagnosis and cause?
Answer: Medullary

Labeled Schematic

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Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

Next best step for this 25yo male (SBP 70)?
Resolution: pericardiocentesis

Lotterman Labeled Schematic

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UVJ Stone on Bladder Ultrasound

A 30yo presents with ap and n/v. What additional poc us view

kidney Labeled Schematic

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Paracentesis on POCUS

Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much

ED Labeled Schematic

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Flexor Tenosynovitis on POCUS

Which of the following diagnoses does this clip best support?
Resolution: flexor tenosynovitis (majority

Labeled Schematic

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Fluid Filled Stomach on POCUS

A patient presents with abdominal pain. Which of the following is represented

Labeled Schematic

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Ruptured Groin Pseudoaneurysm on POCUS - Color Doppler
Patient presents with right groin pain and swelling.
Answer:

with surrounding hematoma

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Perinephric fluid on POCUS

Differential Diagnosis: Calyceal rupture due to obstruction (eg, ureteral stone, crossing vessels, compression

), perinephric hematoma

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Illustration of the Positive and Negative JTS (John Thomas Sign) (depicted on pelvic radiographs (Fig. 3A,

Schematic outline ... Schematic outline

Pyocele on Scrotal POCUS

A patient presents with fever and pain during this ultrasound exam. Who do

PMC3391854/ Labeled Schematic

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Tubal Ectopic Pregnancy on Point of Care Ultrasound (POCUS)

A pregnant patient presents with vaginal bleeding. Which

hypoechoic Labeled Schematic

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Colitis on POCUS

This 53yo male presents with right sided abdominal pain (maximal ttp where probe is).

Labeled Schematic

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Plethoric IVC on POCUS

Echocardiographic "smoke" is appreciated in the hepatic vein as it enters the

Labeled Schematic

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Superficial Soft Tissue Abscess on POCUS

Which of the following symptoms does this patient most likely have?
Resolution:

Labeled Schematic

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Extension of Pneumomediastinum on Neck POCUS

Which of the following is associated with this finding? (Props to

Labeled Schematic

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Wooden Splinter of POCUS Ultrasound
Pt sustained a wound to his hand while sanding wood. X-ray is

foreign body with hematoma

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Retinal Detachment on POCUS

A patient presents with floaters and change in vision. Which diagnosis best supports

papilla) Labeled Schematic

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AAA on POCUS presenting as non traumatic left hip pain.

This woman presented with left hip pain.

Labeled Schematic

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Scrotal Indirect Inguinal Hernia on POCUS

Pt presents with 1 hour of n/v and scrotal pain.

Schematic: https

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Fontan Procedure Schematic
A Fontan is done in most children (approximately 90%) who effectively have a single

Fontan Procedure Schematic ... Fontan #Procedure #Schematic

Floating Ball appearance of a Mature Cystic Teratoma on POCUS
The uterus and bladder were seen separately

Mature Cystic Teratoma ... drdevradiology #Teratoma

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Type A Aortic Dissection with Hemopericardium

This patient presents with chest pain. Which is the best next

Labeled Schematic

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Peritonsillar Abscess (PTA) on POCUS

Among the following, which is the most likely complication from this pathology?
Resolution:

Labeled Schematic

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Intramuscular Biceps Abscess on POCUS with color doppler

Male with proximal LUE swelling/redness after missed IVDU injection.

Labeled Schematic

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Plicae Circulares characteristic of small bowel are most frequent & prominent in JENUNUM on POCUS

What segment

duodenum Labeled Schematic

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Linear Foreign Body (Needle) on Soft Tissue POCUS

Which of the following is appreciated in this clip?
Resolution:

Labeled Schematic

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$Sternal fracture on POCUS. It’s super easy! Place linear probe in long axis over point of$

bony cortex, +/- hematoma

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Splenic Artery on POCUS

Which of the following vessels is appreciated in this clip?
Resolution: Splenic artery (off

Labeled Schematic

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Pneumopericardium on POCUS Echocardiogram

This 70yo male presents with sob. He is in a left lateral decub

sob Labeled Schematic

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Suprasternal view of the aortic arch showing aortic dissection

Where does the top of the screen represent

Labeled Schematic

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Pulmonary Contusion on Lung POCUS

A 20yo M presents after high speed MVA. BP 140/80, HR 95,

care Labeled Schematic

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$Bladder Diverticulum on POCUS Elderly male-high speed MVC with pelvic fracture. FAST exam pelvic TRV window.$

Labeled Schematic

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Posterior Scleritis on Ocular POCUS
Patient presents with left eye pain, redness and decreased visual acuity.

arrow, see labeled schematic

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McConnell sign and right sided thrombus in transit on POCUS

Pt presents to highest acuity area of

Labeled Schematic

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Achenbach’s Syndrome - A previously healthy 66-year-old woman presented with sudden-onset pain and bruising in her

revealed subcutaneous hematoma

Femoral Artery Pseudoaneurysm on POCUS after catheterization
Patient presents with groin swelling after a procedure. What is

rupture and adjacent hematoma

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Blood supply to femoral head:
-major contributor is medial femoral circumflex (lateral epiphyseal artery)
-some contribution to anterior

intracapsular hematoma

Diabetic foot with gas gangrene on POCUS

60yo male with h/o diabetes presents with foot pain. Which

Labeled Schematic

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"Hot Fat" Appendicitis on POCUS

Which of the following is present on this clip?
Resolution: This was a

Labeled Schematic

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Apical Thrombus on POCUS Echocardiogram - PLAX and PSAX

What is the structure indicated by the arrow?
Resolution:

Labeled Schematic

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Diverticulitis on Abdominal POCUS

Which diagnosis does this clip demonstrate?
Resolution: Diverticulitis. Quickly diagnosed with the Butterfly iQ

Labeled Schematic

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Misplaced Foley inflated in the prostatic urethra on bladder pocus

Elderly male with suprapubic pain. Visiting

Labeled Schematic

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Cranial Ultrasound in 1 month old infant

What is most likely the age of this patient?
Resolution: 1

Labeled Schematic

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Superficial Thrombophlebitis on Leg POCUS

This patient presents with leg pain. Which of the following is your

Labeled Schematic

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Quadriceps Tendon Rupture on POCUS

50yo M presents with left leg pain that began acutely while playing

Labeled Schematic

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Laryngeal Ultrasound - Vocal Cords while talking on POCUS

What was the most likely indication for this

Labeled Schematic

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$Sternal fracture on POCUS. 60 year old PT, fell on her chest 4 days ago, tender$

but luckily no haematoma

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Ruptured Ectopic Pregnancy on Transabdominal Pelvic Ultrasound

This patient presents with cc: syncope. What is the best

Labeled Schematic

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Perforated Appendicitis and Abscess on Abdominal POCUS

Young patient presents with RLQ abdominal pain and fever. What

Labeled Schematic

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Cardiac Tamponade on Subcostal 4 Chamber POCUS Echocardiogram

Which of the following would be expected in this

MMode Schematic:

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Double Barrel Sign (Dilated CBD) on Abdominal POCUS

Which of the following is demonstrated in this clip?
Resolution:

Labeled Schematic

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Sewing Needle stuck in patellar tendon on POCUS

A 30yo pt presents with 2d of knee pain.

Labeled Schematic

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AAA w/ intraluminal thrombus on abdominal POCUS

Which of the following describes this clip most accurately?
Resolution: AAA

Labeled Schematic

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Humeral Head Growth Plate on Shoulder POCUS

A 15yo male presents with shoulder pain. Which of the

Labeled Schematic

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Submandibular Sialolithiasis on POCUS

Male with right submandibular pain/swelling. Poor dentition. Sent to ED for suspected

Labeled Schematic

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Gastric Ultrasound - Dilated Stomach with Layering Dependent Debris on POCUS

What is the best next step

Labeled Schematic

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There is a large pericardial effusion, which is located posteriorly to the left ventricle (blue arrow).
The

surgery a large hematoma

Ruptured Abdominal Aortic Aneurysm (AAA) on POCUS

Here's the abdominal ultrasound of a man who was in

with surrounding hematoma

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Consensual Pupillary Light Reflex on Ocular POCUS

Want to evaluate a pupil reactivity but the eye is

there is a large hematoma

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Positive DVT on POCUS - Greater Saphenous Vein

Which of the following is true about this

DVT Labeled Schematic

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Pneumonia with Air Bronchograms on Lung POCUS

This patient presents with shortness of breath. What is your

US Labeled Schematic

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Uterine Perforation with complex free fluid on Transabdominal POCUS

Sent from outside clinic where had D&C-preg termination

Labeled Schematic

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Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days. GB

Labeled Schematic

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Fracture Healing (and disruptors of this process)
Inflammatory Stage (0-7d)
• Fracture disrupts local blood vessels ->

> formation of hematoma ... in place of the hematoma

Ear Pain / Otalgia - Differential Diagnosis Algorithm
Referred Otaliga:
• Via Vagus or Glossopharyngeal Nerves
•

Frostbite, Auricular Hematoma

Paraesophageal Abscess on POCUS
Pt with severe chest/abd pain. Ill/febrile. RUSH exam performed. Diagnosis? Patient

Labeled Schematic

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Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours

Labeled Schematic

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Hydronephrosis and Urinoma on Renal POCUS (Transverse)
Pt c/o RUQ pain. Has known gallstones and states feels

Labeled Schematic

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Causes of Solid Renal Mass - Differential Diagnosis Algorithm
Benign <3 cm in size, Presence of fat

Angiomyolipoma (hamartoma

Beaver Tail Liver - Enlarged Left Lobe of the Liver on POCUS
LUQ trauma case. Rollover

Subcapsular hematoma

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complications • Hematoma

Causes of Anemia in Cirrhosis - Differential Diagnosis Framework
LOW RETIC INDEX - ↓ PRODUCTION
• Vitamin

vascular ectasia, Hematomas

MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.

Labeled Schematic

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5 T’s Mnemonic for Causes of an Anterior Mediastinal Mass Differential Diagnosis

Thymus - Thymoma, Thymic Carcinoma.

Terrible Lymphoma Teratoma

Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
• Gastroesophageal reflux disease
• Eosinophilic gastrointestinal

syndrome • PTEN hamartoma

Turbulent Flow in the Internal Jugular Vein on POCUS secondary to a distal thrombus.

You're going to

Labeled Schematic

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Lingual Papillomas - He had macrocephaly (head circumference in the >97th percentile), as well as multiple

CowdenSyndrome #Hamartoma

$Rib fractures on POCUS 1. look for a discontinuity at the site of pain and tenderness$

associated overlying hematoma

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Compartment Syndrome Pearls
A vicious cycle of increased pressure within a facial compartment leading to compression of

Pathophysiology: • Injury → Hematoma

Hemoperitoneum and Hemothorax from ruptured spleen - Perihepatic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents

Labeled Schematic

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a retrobulbar hematoma

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