12 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Chronic Shoulder ... Diagnosis Algorithm 4 tests ... for the AC joint ... after cross-arm test ... Diagnosis #Algorithm #MSK
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS ... Apical approach had best ... distance away from lung ... Pericardiocentesis #POCUS ... Echocardiogram #A4c
Shoulder Impingement Syndrome (SIS): Signs and Symptoms

Repetitive Overhead Activity, Scapular Dyskinesis -> Scapulohumeral mechanics become altered
Shoulder Impingement ... Syndrome + Painful arc ... test - Pain at ... pain + Hawkin's test ... signs #symptoms #msk
Painful Arc Test for Subacromial Impingement

The patient elevates the arm in the scapular plane, then slowly
Painful Arc Test ... The test is positive ... 120 degrees of shoulder ... #Impingement #shoulder ... #orthopedics #msk
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
edema, and clear lungs ... diastolic septal shudder ... Echocardiogram #a4c ... #pocus #clinical
Hemoglobin A1c (glycated hemoglobin) reflects the average blood glucose concentration over the course of the RBC
mortality in the long-term ... HgbA1c values and should ... the fructosamine test ... test in patients ... test, such as anemia
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... Arterial blood gas (ABC ... Should be performed ... 10 minutes of rest ... on radioactive lung
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC ... determine if stress test ... indication of AC ... unless prior heart/lung
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis on POCUS ... with severe left shoulder ... Tender on top of shoulder ... Arthritis #Effusion #POCUS ... clinical #ultrasound #MSK
Acromioclavicular (AC) Joint Separation on POCUS with overlying hematoma

40yo M presents after falling off his bicycle
Acromioclavicular (AC ... Separation on POCUS ... landing onto his R shoulder ... Joint #Separation #POCUS ... clinical #ultrasound #MSK