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Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
Esophagectomy on Chest ... The fundic gas shadow ... Esophagectomy #Chest
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Necessitans (EN) on Chest ... coughed and now his chest ... previously removed chest ... erodes into the chest ... most common) - Fungus
Normal fundus on fundoscopy

#Normal #fundus #fundoscopy #ophthalmology #labeled #anatomy #Clinical
Normal fundus on ... fundoscopy #Normal #fundus
Soil Related Infections - Differential Diagnosis Framework

Mechanism Of Infection:
 • Wound
 • GI: Ingestion, MUD, Contaminated
possible fever, chest ... pulmonary or sinus fungus
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
aches, joint pain, chest ... SPOROTRICHOSIS Dimorphic fungus ... COCCIDIOMYCOSIS • Dimorphic fungus ... arthroconidia; the fungus
Approximation of Fundal Height 

Gestational age - Fundal Height Landmark 
12 wks - Pubic symphysis 
20
Approximation of Fundal ... Gestational age - Fundal ... Regression of fundal ... Umbilicus #Fundal
Dystocia Maneuvers
1. McRoberts: hyperflexion/adduction of both hips (knees against lateral abdomen) - requires an assistant at
suprapubic (not fundal ... significantly inferior to fundus
Resuscitative Hysterotomy - Procedure Instructions
When? ASAP. Within 4 minutes when possible.
Who? Pregnant patient with uterus above
Cut uterus to fundus ... Apply fundal pressure
Perimortem Hysterotomy Instructions

Do 4 minutes into arrest if uterus above the umbilicus

1. Manage Arrest
 • Compressions,
Cut uterus to fundus ... then body, apply fundal
Paradoxical chest movement in Flail Chest 

Oscar Reyes @OR_ECMO

#Flail #Chest #clinical #video #physicalexam #trauma #thoracic
Paradoxical chest ... movement in Flail Chest ... OR_ECMO #Flail #Chest