7 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... Chest x-ray: signs ... → no signs of CXR ... #management #cardiology
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... Splint: Posterior long ... #XRay #Diagnosis ... #Orthopedics #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... Splint: Posterior long ... of DRUJ MH/CCF ... #XRay #Diagnosis ... #Orthopedics #MSK
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... , marked pedal edema ... , and clear lungs ... #pocus #clinical ... #cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... Splint: Posterior long ... recommendations MH/CCF ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... one post op Cardiology ... risk Chest X-ray ... unless prior heart/lung ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
EMHighAK) and Brit Long ... Vital signs: BP ... (CXR), try rotating ... not seen on a CXR ... #Lung #Pulmonary