8 results
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... which rules out CV fusion ... has Kussmaul's sign ... the underlying diagnosis ... #PhysicalExam #Clinical
AAA Endoleak on POCUS

80 y/o w severe abdominal pain, one year after endoprosthesis stent of an
80 y/o w severe abdominal ... instant diagnosis ... Endoleak #AAA #clinical ... #aorta #ultrasound ... #vascular #pocus
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
immunosuppression, travel ... /lung sliding: Pulmonary ... partially seen shred sign ... NOT definitively diagnose ... #clinical #ultrasound
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Symptoms: cough, abdominal ... distension, wheeze, abdominal ... un lymphatic Diagnostic ... bilateral pleural effusions
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
the duodenum Clinical ... Signs/Symptoms: ... triad: Bleeding, abdominal ... , and palpable abdominal ... Management #Summary #vascular
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- GI tract: abdominal ... < 30 years - Aorta ... branches • GCA: - Aorta ... purpura: strong sign ... Supply gut -> abdominal
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... < 30 years • Aorta ... pulse deficits vascular ... Arteritis): • Aorta ... gut involvement, abdominal
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... structural and vascular ... consider intra-abdominal