10 results
Twinkle Sign - Bladder Stone on Doppler Ultrasound

Obstructive uropathy is evidenced on POCUS by hydronephrosis, but
Twinkle Sign - Bladder ... Stone on Doppler ... irregular, erratic color ... #Color #Doppler ... #Ultrasound #Clinical
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... interposition of the colon ... Chilaiditi sign ... #Chest #XRay #CXR ... #clinical #radiology
Pneumoperitoneum vs Pseudo-Pneumoperitoneum aka Chilaiditi Sign
It mimics pneumoperitoneum and it is thus important to diagnose it
aka Chilaiditi Sign ... the transverse colon ... PseudoPneumoperitoneum #Chilaiditi #Sign ... #clinical #radiology ... #cxr #xray #chest
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
space (blood) • Color ... anterior infarct) • Color ... poor prognostic signs ... Bidirectional color ... #differential #
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... urine can induce color ... hematuria • Signs ... Hematuria: • Stone ... • Infection (Viral
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... Diagnosis: Viral ... Monitor and Treat Complications
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... Marantic (NTBE) Differential ... Regurgitation • Colon ... destructive lesion • Complications ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... importantly, bedside ultrasound ... ECG is vital while ... #diagnosis #differential
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... involves aortic and mitral ... Regurgitation • Colon ... destructive lesion • Complications ... #Endocarditis #Differential
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest