HIVlabs art msk pocus

This is what a shoulder dislocation looks like on US before and after reduction. Focus on

Focus on the joint ... EM_RESUS #Clinical #POCUS ... #MSK #Shoulder

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Clinical #Diagnosis #POCUS ... #MSK #POCUS #Shoulder

POCUS Reference Measurements
• Gallbladder
• Urinary Bladder
• GI Tract
• Pregnancy
• Optic Nerve

POCUS Reference ... Optic Nerve • MSK ... sspillai01 #POCUS

Arm Muscle Anatomy - Right Anterior and Posterior Views

By @rev.med

#Arm #Muscles #Anatomy #MSK #orthopedics

Arm Muscle Anatomy ... By @rev.med #Arm ... Muscles #Anatomy #MSK

Posterior Shoulder Dislocation on POCUS

The team wasn't sure if shoulder had been reduced. Rather than send

Dislocation on POCUS ... out for CXR, US at ... #Dislocation #POCUS ... clinical #ultrasound #MSK

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$5th metatarsal distal shaft fracture - Fracture detection on MSK ultrasound The Ultrasound Site - MSK ultrasound$

Fracture detection on MSK ... Ultrasound Site - MSK ... shaft #fracture #MSK ... #POCUS #Ultrasound

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Initial ART regimens
By Dr. Sara Dong @swinndong via Febrile [febrilepodcast.com @febrilepodcast]
#ID #Infectious Diseases

Initial ART regimens ... PLWH #HIVtesting #HIVlabs ... #HIVdiagnosis #ART

Myelopathy - Injury to the entire spinal cord - Signs and Symptoms
• Ataxia (early sign)

Hypertonicity (muscles are ... and contracted at ... reflex responses are ... signs #symptoms #msk

Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder

Cross-arm shoulder ... extension after cross-arm ... Diagnosis #Algorithm #MSK

Talus Fracture on POCUS
Athlete with hard landing on one foot, pain and tenderness over dorsum of

Talus Fracture on POCUS ... POCUS showed talus ... Talus #Fracture #POCUS ... clinical #ultrasound #MSK

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Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis
Signs: painful abduction

painful abduction of arm ... diagnosis #sports #MSK

U/S - Is the shoulder IN or OUT?

Top Clip: IN (No Dislocation)
Bottom Clip: OUT (Anterior Dislocation!)
-

EM_RESUS #Clinical #POCUS ... #MSK #Shoulder

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Aortic Dissection Sagittal View POCUS

Take a look at the appearance of a pericardial effusion, as well

Sagittal View POCUS ... Take a look at ... is patent; why are ... Elias Jaffa MD MS ... jaffa_md #Clinical #POCUS

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Rib Fracture on POCUS

There is an interruption in the continuity of this bone (rib), indicated by

Rib Fracture on POCUS ... Rib #Fracture #POCUS ... clinical #ultrasound #msk

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If bronchioles are ... If bronchioles are ... will be seen IM POCUS ... Focus @IMPOCUSFocus ... Profiles #Ultrasound #POCUS

Anterior Shoulder Dislocation Pre and Post-Reduction on Point of Care Ultrasound (POCUS)

Using #POCUS to identify an

Care Ultrasound (POCUS ... ) Using #POCUS ... Dislocation #Reduction #POCUS ... Ultrasound #Cinical #MSK

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Navigating a Rapid Response Team (RRT)

Assert Leadership:
• Stand at foot of bed
• Introduce yourself

Response Team (RRT ... leader • Ask ... Assessment: • Ask ... and pulse ox • Ask ... completed • Ask

Tethered Retinal Detachment on Point of Care Ultrasound (POCUS)

Retinal detachments are tethered at optic nerve and

Care Ultrasound (POCUS ... Retinal detachments are ... tethered at optic ... detached including at ... Tethered #Clinical #POCUS

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Winged Scapula on Physical Exam

Common things being common just standard scapular winging, but this is more

thoracic /serratus ant ... both is lesion at ... #orthopedics #msk

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POCUS Algorithm for Chest Pain

Integrating POCUS in crashing chest pain is complex. Know the views that

POCUS Algorithm ... Integrating POCUS ... Here are my go-to ... #ChestPain #POCUS

Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct

Drop Arm Test - ... Tear The drop arm ... PT_yuu_mizu628 #Drop #Arm ... video #sports #msk

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Interscalene brachial plexus block is used for shoulder, arm, and elbow surgery. Local anesthetic is injected

for shoulder, arm ... anesthetic is injected at ... brachial plexus at ... -C7 #Clinical #POCUS

BE-FAST Mnemonic for Stroke Recognition Signs

B - Balance: Loss of balance or coordination.
E - Eyes: Double,

Ask to smile. ... A - Arm: Weakness ... Ask to raise both ... Ask to repeat a ... these symptoms are

Pelvic X-Ray Anatomy and Interpretation Checklist
- Sacro-iliac joints
- Don't forget the lumbar spine -

lumbar spine - Are ... labeled #anatomy #msk

Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
• Flow 6-10 LPM
• FiO2 35-50%
Face Tent:

Mask Oxygen Delivery ... Devices Simple Mask ... aka Hudson's Mask ... • Face Tents are ... venturi valves are

Acute Pulmonary Embolism - Labeled POCUS Findings

This patient presented with a-fib and shortness of breath.

Embolism - Labeled POCUS ... This POCUS illustrates ... clot-in-transit are ... Sign #Clinical #POCUS

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Flexor Tenosynovitis (FTS)

The clinical diagnosis of FTS is made using Kanavel’s Signs:
- Fusiform swelling.
-

slight flexion at ... Criteria #Sign #Hand #MSK

Achilles Tendon Rupture - Pathogenesis and clinical findings
• The Achilles tendon is 15cm long in

tendon ruptures are ... Palpable gap in the A.T ... pathophysiology #msk

LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG. ED

Dissection on POCUS ... Severe CP x 1 hour, Ant ... ED echo Focal Ant ... Artery #Dissection #POCUS

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Sulcus Sign on Shoulder Exam

Positive sulcus sign in a shoulder with multidirectional instability.

Downward force applied at

force applied at ... clinical #video #msk

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$ROLANDO FRACTURE Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal$

intraarticular three-part ... Intraarticular three-part ... and tenderness at ... #Orthopedics #MSK

Medical Mask Usage in COVID-19
Medical masks can be used to prevent the spread of respiratory infections.

There are 2 main ... N95 respirators are ... Wash hands for at ... wash hands for at ... hands again for at

Carpal Tunnel Syndrome: Pathogenesis and clinical findings
• Dysthesias - Tingling, burning, or painful sensation at

painful sensation at ... sensitivity to pain at ... pathophysiology #msk

Mental Status Exam (MSE)
Note: The MSE is a "snapshot" of a patient at a specific time.
You

Mental Status Exam (MSE ... ) Note: The MSE ... " of a patient at ... - How thoughts are ... MentalStatusExam #MSE

Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.

subcostal 4-chamber POCUS ... fluid collections are ... effusion #s4c #POCUS ... echocardiogram #POCUS

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Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed

LCL), which is part ... his injury, we are ... collateral #ligament #msk

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Shoulder Effusion Ballottement on Physical Examination

Shoulder effusion. You can ballot and see fluid return at posterior

see fluid return at ... #PhysicalExam #msk

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Nicotine Replacement Therapy - Dosing Schedules

Here's an easy way to remember dosing for Nicotine Replacement

Replacement Therapy (NRT ... Just ask the patient ... There are some other ... monotherapy, so if NRT

Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
• Eccentric soft-tissue densities surrounding the third proximal interphalangeal

Gouty Arthritis) - MSK ... These are CLASSIC ... - **MSK rads ... Radiology #diagnosis #msk

Outpatient Hypertension Management Algorithm
Monotherapy:
• Thiazide/thiazide-like
• ACE-I (non-black patients),
• ARB

patients), • ARB ... ACE-I + CCB • ARB ... • ACE-I or ARB ... Amy Chung, MD, MSc

Cervical Central Canal and Neural Foraminal Stenosis Grading

Cervical Central Canal Stenosis Grading
- Normal - No

foraminal effacement at ... foraminal effacement at ... Diagnosis #Radiology #MSK

Ultrasound-Guided Regional Nerve Blocks in Emergency Medicine: Interscalene Brachial Plexus Nerve Block
Uses in the Emergency Department:

laceration repair at ... the lateral arm ... ultrasound #anesthesia #pocus

$BENNETT FRACTURE Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base$

intraarticular two-part ... Intraarticular two-part ... and tenderness at ... #Orthopedics #MSK

Disc Herniations - Pathogenesis and Complications
• 90% of Lumbar disc herniations happen at L4/5 and L5/S1
•

herniations happen at ... herniations happen at ... complications #msk

Wrist Anatomy - Anatomy of the Carpal Bones
There are several mnemonics that people use to remember

Carpal Bones There are ... There are several ... Some popular ones are ... clinical #radiology #msk

Intra-arrest Echo showing V-Fib at rhythm check!

Sam Ghali, M.D. @ https://twitter.com/EM_RESUS

#VFib #VentricularFibrillation #POCUS #Echocardiogram #Ultrasound #Clinical

showing V-Fib at ... VentricularFibrillation #POCUS

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Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam

Pneumonia on Lung POCUS ... POCUS lung exam ... Lung POCUS shows ... seen shred sign Rt ... Lung POCUS invaluable

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$RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are$

head fractures are ... in adults and are ... • When looking at ... #Orthopedics #MSK

CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used

Wrong size/style mask ... try a different mask ... up to face at first ... Leaky mask, skin ... asleep → wear mask

Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint

wonder if there are ... synovial cells at ... inflammation #joint #msk

POCUS appearance of Pleural thickening at right base. (patient was referred as possible pleural effusion, referral

POCUS appearance ... Pleural thickening at ... Pleural #Thickening #POCUS

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Proximal Aortic Dissection on POCUS Echocardiogram (PLAX)
42 yo F with chest pain, tachycardia and HTN.
What

Dissection on POCUS ... pathology on #POCUS ... ascending aorta are ... Aortic #Dissection #POCUS

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Crank Test for Labral Tear of the Shoulder

To perform the Crank Test, fully abduct the shoulder

externally rotate the arm ... video #sports #msk

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Bone Tumor Location within the Skeleton

Epiphysis:
Only a few lesions are located in the epiphysis, so

a few lesions are ... Epiphysis #Radiology #MSK

Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding

re good enough at ... physical exam - you are ... EM_RESUS #Clinical #POCUS

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Yergason's Test on Physical Exam
Yergason's test for biceps tendon pathology testing stability of the tendon within

bicipital groove 2) Arm ... at 90 degrees and ... clinical #video #msk

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Fine Ventricular Fibrillation on POCUS Echocardiogram (S4C) with Saline Contrast
POCUS may help you to spot fine

Fibrillation on POCUS ... Saline Contrast POCUS ... provider looking at ... Fibrillation #VFib #POCUS

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Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX
2. Zoom to

Measurement on POCUS ... Measure at mid systole ... #Measurement #POCUS

Galeazzi Fracture
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall

/pronation and at ... Posterior long arm ... #Orthopedics #MSK

Anterior Shoulder Dislocation: Pathogenesis, clinical, and radiographic findings

Trauma, Fall on, outstretched arm, Overhead throwing => Abduction

, outstretched arm ... signs #symptoms #msk

Asteroid Hyalosis on Point of Care Ultrasound (POCUS)

Very cool case from colleague at one of my

Care Ultrasound (POCUS ... from colleague at ... Ocular #Ultrasound #POCUS

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Fig. 8. Surface marking to guide needle insertion. In the paramedian sagittal (PS) oblique view,

skin mark is made at ... and skin marks are ... made at the midpoint ... intrathecal space at ... PainManagement #POCUS

POCUS for diagnosis of Diverticulitis - Visual Abstract
What are the test characteristics of point-of-care ultrasonography in

POCUS for diagnosis ... Abstract What are ... Diverticulitis #POCUS

Air Bronchograms on Ultrasound

Opacification of alveolar spaces surrounding air-filled bronchioles; enables visualization of well-defined tissue/air interface;

bronchograms (AB) are ... respiration, and are ... consolidation; static AB are ... Static #Dynamic #POCUS

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Ruptured Ectopic Pregnancy on Pelvic Ultrasound

Assessment for an intrauterine pregnancy (IUP). Uterine landmarks are bladder (B)

Uterine landmarks are ... obstetrics #radiology #POCUS

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Scapular Manipulation Technique for Reduction of Anterior Shoulder Dislocation (Left Shoulder)

The scapular manipulation technique focuses on

prone with the arm ... downward at 90 ... #orthopedics #msk

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Smoking Cessation and Nicotine Replacement Therapy (NRT)
Smoking is the leading cause of preventable death and a

Replacement Therapy (NRT ... Cessation • Ask ... Replacement Therapy (NRT ... Replacement #Therapy #NRT

Baker's Cyst on POCUS
Very unusual ,6 years boy with a Baker cyst !!! No flow and

Baker's Cyst on POCUS ... #Bakers #Cyst #POCUS ... knee #ultrasound #msk

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Aortic Dissection on Suprasternal Notch View - POCUS

Suprasternal POCUS of the aortic arch dramatically changing a

Suprasternal Notch View - POCUS ... Suprasternal POCUS ... dissection flap at ... Notch #Clinical #POCUS

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$Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at$

• When looking at ... Posterior long arm ... #Orthopedics #MSK

Neurological Side Effects of Antipsychotic Drugs
Acute dystonia - Spasm of muscles of tongue, face, neck, back

naive patients at ... Antiparkinsonian agents are ... variable tremor, mask ... Elderly at greatest ... deutetrabenazine are

Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
• Os trigonum which has marrow

Trigonum) Syndrome - MSK ... localized severe pain at ... Radiology #diagnosis #msk

Osgood-Schlatter Disease - MSK Radiology
Imaging Findings:
• Infrapatellar fat-pad edema with loss of the patellar tendon

Osgood-Schlatter Disease - MSK ... condition but at ... Radiology #diagnosis #msk

Radiculopathy: Signs and Symptoms
• Back/Neck Pain
• Decr Range of motion
• Abnormal posturing
•

tendon reflexes (at ... Radiculopathy #MSK

Tethered Retinal Detachment on Point of Care Ultrasound (POCUS)

Retina is tethered at ora serrata and optic

Care Ultrasound (POCUS ... Retina is tethered at ... Tethered #Clinical #POCUS

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Ataxic gait (Spino-cerebellar ataxia)

#Ataxic #gait disorders occur due to dysfunction of the #cerebellum, the part of

cerebellum, the part ... cerebellar type (MSA-C

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Ventricular Fibrillation in Real Time

This was recorded at the conclusion of a swine experiment prior to

This was recorded at ... Video #Clinical #POCUS

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Neonatal Resuscitation - Airway and Breathing
Airway
• Opened by placing the infants's head in a neutral

adequately, start mask ... ventilation • Mask ... time 2-3 seconds at ... ventilation (g) are ... indicated if: mask

Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
• Pills (ask pharmacy

Oral: • Pills (ask ... because the pills are

Free Air at the Peritoneal Line on POCUS

Chief Complaint: "my girl stabbed me"

Labeled Diagram: https://twitter.com/EUSmkh/status/752864010337415169

- Dr.

Free Air at the ... Peritoneal Line on POCUS ... FreeAir #Abdominal #POCUS

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Comparison of Ocular Pathologies on POCUS:
• Vitreous Detachment
• Vitreous Hemorrhage
• Retinal Detachment

Vitreous detachment

Pathologies on POCUS ... Here are other ocular ... EUSmkh #Ocular #POCUS

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$Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck$

Complications are ... Orthopedics #Sports #MSK

Dynamic Air Bronchograms on Lung Point of Care Ultrasound (POCUS)

If you're looking for something to stare

Care Ultrasound (POCUS ... something to stare at ... Lung #Ultrasound #POCUS

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Hydroxyapatite Deposition Disease (HADD) - MSK Radiology
Imaging Findings:
• Ovoid hypointense structures along the bursal surface

Disease (HADD) - MSK ... calcifications which are ... Radiology #diagnosis #msk

Right Parasternal View on POCUS Echocardiogram
- Right lateral decubitus position with transducer at 2nd/3rd Intercostal

Parasternal View on POCUS ... with transducer at ... #window #view #POCUS

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Partial tear of subscapularis tendon on POCUS
The partial tear (hypoechoic) area is clearly seen in the

subscapularis tendon on POCUS ... subscapularis #tendon #POCUS ... clinical #ultrasound #msk

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Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other

Ask about precipitating ... associated symptoms are

Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells

Cells - usually at ... tumour B cells are ... Amy Chung, MD, MSc

Hippocratic Shoulder Reduction
Shoulder reduction is the process of returning the shoulder to its normal position

exist, but some are ... X-rays are often ... The arm should be ... Shoulder #Reduction #MSK

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Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a

(EN) on Chest POCUS ... teaching case: you are ... is what you see at ... chest drain on POCUS ... clinical #video #POCUS

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Pudendal Neuralgia
• Pudendal nerve arises from S2-S4 roots and innervates perineal structures
• Nerve is prone to

to entrapment at ... before arriving at ... Diagnosis #Radiology #MSK

Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed

contralateral leg flexes at ... video #sports #msk

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Severe Aortic Stenosis on POCUS

Calcified Aortic valve leaflets with minimal opening. LVH likely secondary to AS

Aortic Stenosis on POCUS ... What are some concerning ... Aortic #Stenosis #POCUS

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Radial Head Elbow Fracture with displaced Fat Pads
Intra-Articular Fracture of the Elbow with displaced fat pads

Why are the fat ... These are intra-capsular ... If the fat pads are ... clinical #radiology #msk

Parkinson's Plus Syndromes - Atypical Parkinsonism
Main motor symptoms:
• Tremors
• Limb rigidity
• Bradykinesia
Other symptoms

most common forms are ... system atrophy (MSA

Bowel perforation on POCUS.

At beginning of clip, free air from a perforated viscous displaces liver from

perforation on POCUS ... At beginning of ... #perforation #POCUS

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An Algorithm for the Management of Seizures

The management of active seizures is algorithmic, starting with a

and bag-valve mask ... The focus is on

Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of

rotated, extended arm ... Orthopedics #Sports #MSK

Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
•

paresthetica • Symptoms are ... thus symptoms are ... MeralgiaParesthetica #MSK

Intestinal Ascariasis on Point of Care Ultrasound (POCUS)

Ultrasound of tubular structure with echogenic walls in dilated

Care Ultrasound (POCUS ... billion people are ... Ascariasis #Ultrasound #POCUS

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Cortical Desmoid - MSK Radiology
Imaging Findings:
• Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense

Cortical Desmoid - MSK ... The lesion is at ... irregularity" are ... - At the attachment ... Radiology #diagnosis #msk

Growth Patterns - Molds, Yeasts and Dimorphic
• Mold - Arial mycelia and vegitative mycelia

mycelia present at ... Bacterial-like growth at ... Mold-like growth at ... bacterial-like growth at ... Cullen Lilley, MS

Incarcerated Spigelian Hernia on POCUS

A 60yo F presents with LLQ pain that feels like her previous

Spigelian Hernia on POCUS ... that was reduced at ... Spigelian #Hernia #POCUS

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Type B Aortic Dissection Flap on POCUS Echocardiogram - PLAX

Elderly male with hypertension and DM presents

Dissection Flap on POCUS ... Look at the intimal ... Dissection #Flap #POCUS

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Monteggia Fracture
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where

Posterior long arm ... Orthopedics #Proximal #MSK

Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system

Multiple Sclerosis (MS ... nearly 3:1 • MS ... Fulminant Forms of MS ... Oligoclonal bands are ... clinically definite MS

Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of

and is cut off at ... #SpineSign #POCUS

$Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition$

Tempo and delta are ... sure you check at ... We may ask why are ... Ask some questions ... oxygen sensing (at

Antenatal Visits - Testing and Schedule
At Every Visit:
• Gestational Age
• BP
• Maternal Weight

and Schedule At ... Additional U/S If there are ... Amy Chung, MD, MSc

Botfly Larvae on POCUS
JEM Case of the week: 22 yo previously healthy woman presents with an

Botfly Larvae on POCUS ... was found via POCUS ... had it removed at ... Botfly #Larvae #POCUS

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