9 results
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
- Heliotrope sign ... or shawl sign ... - Interstitial lung ... #Signs #Dermatomyositis ... #Diagnosis #Rheumatology
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... sliding/barcode sign ... Consolidations - "Shred" sign ... #differential #diagnosis ... #signs #Lung #POCUS
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
POCUS with Spine ... Sign GSW to ... Diagnosis? ... Labeled Schematic ... Sign #clinical #
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
chest (in a V-sign ... shoulders (in a shawl sign ... Inverse Gottron’s sign ... anti-NXP2 Abs Lung ... #rheumatology #
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
COVID-19 Findings ... on Lung ultrasound ... GrauSegura #COVID19 #Lung ... #ultrasound #POCUS ... #Diagnosis #Signs
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... These findings suggest ... Echocardiogram #a4c #pocus
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
chest (in a V-sign ... shoulders (in a shawl sign ... Non-small-cell lung ... : • ILD was diagnosed ... #rheumatology #
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
- Differential Diagnosis ... RP-ILD), dermato-rheumatologic ... papules and Gottron sign ... ) • Shawl sign ... Myositis #Myopathy #rheumatology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... Several of the diagnoses ... physical exam findings ... This post will focus ... Radiology #CTChest #Lung