Interns msk knee pocus

TISSUE APPEARANCES ON
MUSCULOSKELETAL ULTRASOUND

Bone:

Bone is represented as a very bright structure and appears

hypoechoic, with some internal ... infrapatellar bursa of the knee ... MUSCULOSKELETAL #MSK ... #POCUS #Atlas #

Anatomy of the knee ... #knee #anatomy ... orthopedics #diagram #msk

Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
- Patient with knee in extension. Push posterior on

- Patient with knee ... of patella then ask ... is produced in knee ... #physicalexam #knee ... Patellofemoral #msk

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Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,

Knee Examination ... Right Knee - Examination ... Diagnosis #Sports #Knee ... #Drawer #Test #msk

Apley Compression Test on Knee Examination

With the patient prone, the knee being tested is flexed to

Compression Test on Knee ... patient prone, the knee ... while applying internal ... meniscal #meniscus #Knee ... #orthopedics #msk

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

Baker's Cyst on POCUS ... connected to the knee ... #Bakers #Cyst #POCUS ... #clinical #knee ... #ultrasound #msk

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Split, Fractured Patella on Knee Exam

30 years old male, 10 years post motorbike accident. Split,

Fractured Patella on Knee ... Fractured #Patella #Knee ... clinical #video #msk

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Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic

ACL-deficient Knee ... alignment across the knee ... stability to the knee ... PivotShift #test #ACL #Knee ... Sports #Ortho #msk

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Lachman test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic

ACL-deficient Knee ... alignment across the knee ... stability to the knee ... Lachmans #test #ACL #Knee ... cruciate #ligament #msk

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Varus Stress Test for LCL Injury on Knee Physical Exam

The knee is examined in extension and

LCL Injury on Knee ... Physical Exam The knee ... lateral side of the knee ... #Stress #Test #Knee ... video #sports #msk

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Positive Lachman test in ACL Injury

Here is an exam of a patient under anesthesia with an

looseness of the knee ... That causes the knee ... Lachmans #test #ACL #Knee ... cruciate #ligament #msk

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Positive J-Sign - Maltracking Patella on Knee Physical Exam

The J sign correlates with poor patellar tracking

Maltracking Patella on Knee ... JSign #J #Sign #Knee ... clinical #video #msk

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Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint

Thessaly Test for Knee ... Thessaly #Test #Knee ... #physicalexam #msk

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Posteromedial Instability on Knee Exam
This is what a knee with posteromedial instability looks like. Notice the

Instability on Knee ... This is what a knee ... #Instability #Knee ... PhysicalExam #Injury #MSK

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Normal (Negative) Lachman Test for ACL Injury

Andrew Dold, MD @dr.dold.md

#Lachmans #test #ACL #Knee #Injury #Normal #Negative

Lachmans #test #ACL #Knee ... cruciate #ligament #msk

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Patellar Fracture Injury - Patellar Rupture caught in real-time during an MMA match.

#Patellar #Fracture #Injury #clinical

#orthopedics #msk ... #knee #kneecap

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Diagram of different types of bone tumors that can occur around the knee on XRay -

occur around the knee ... @docskalski #Knee ... peds #pediatrics #msk

Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
- DDX:
-

Causes of Knee Effusions ... Diagnosis Framework Knee ... distal to the knee ... Infectious Knee ... differential #diagnosis #msk

Achilles Tendon Rupture in Slow Motion

Caused by high speed knee extension with ankle dorsiflexion.

Dr. Boris Gojanovic

by high speed knee ... #PhysicalExam #msk

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Chronic prepatellar bursitis with chronic changes.

MCW EM Ultrasound @ https://twitter.com/MCW_EM_US

#Chronic #prepatellar #bursitis #POCUS #Knee #Ultrasound

prepatellar #bursitis #POCUS ... #Knee #Ultrasound

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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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Medial Approach Knee Intra-articular Corticosteroid Injection

Landmark 1/3 to 1/2 way from top of patella. Find

Medial Approach Knee ... Janetbirdope #Medial #Knee ... physicalexam #procedure #msk

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Lateral pivot shift test: Valgus stress on knee plus internal/external rotation of knee during knee flexion

Valgus stress on knee ... plus internal/external ... rotation of knee ... during knee flexion ... LateralPivotShift #Test #ACL #Knee

Knee Ligaments - Biomechanics Model - Flexion and Extension

@AnatomyStandard

#Knee #Ligaments #Model #3D #clinical #video #orthopedics #msk

Knee Ligaments - ... AnatomyStandard #Knee ... #orthopedics #msk

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

Valgus Stress Test in MCL Injury

In this video you can have a great visual of a

#Orthopedics #Knee ... collateral #ligament #msk

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

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

occur around the knee ... @docskalski #Knee ... Radiology #XRay #msk

Mytomes - Segmental Innervation of Muscles
Shoulder Abduction C5 Axillary Nerve
Shoulder Adduction C6-C8 Thoracodorsal Nerve
Elbow Flexion C5 Musculocutaneous Nerve
Elbow Extension C7 Radial Nerve
Wrist Extension C6 Radial Nerve
Fingers Flexion C8 Median Nerve
Fingers Abduction T1 Ulnar Nerve
Hip Flexion L2 Nerve to Psoas
Hip Extension S1 Inferior Gluteal

Gluteal Nerve Knee ... Tibial Nerve Knee ... #MuscleGroups #MSK

Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed

Interesting knee ... corner (PLC) of the knee ... #Orthopedics #Knee ... collateral #ligament #msk

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Ultrasound Guided Knee Injection on POCUS

The Ultrasound Site - MSK ultrasound education @mskultrasound

#Ultrasound #Guided #Knee #Injection

Ultrasound Guided Knee ... Ultrasound Site - MSK ... Ultrasound #Guided #Knee ... #clinical #msk ... #pocus

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ABCs of Lung Ultrasound - POCUS

Pitt Internal Medicine Point of Care Ultrasound @PittIMPOCUS

.mp4 Hi-Res Version Here:

Lung Ultrasound - POCUS ... Pitt Internal ... profiles-ultrasound-differential-pocus-lung

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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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Patellofemoral Syndrome - Pathogenesis and clinical findings
• Anterior Knee Pain with possible symptoms of 'catching'

findings • Anterior Knee ... signs #symptoms #msk

Pes Anserine Bursitis - MSK Radiology
Imaging Findings:
• T2-hyperintense fluid-like signal along the medial aspect of

Anserine Bursitis - MSK ... aspect of the knee ... PesAnserine #Bursitis #knee ... Radiology #diagnosis #msk

Thomas' Test for Hip Flexure Contracture

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

flexes at the knee ... video #sports #msk

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Calcific Knee Tendinitis on POCUS in a patient presenting with knee pain

Dr. Bob Stenberg @POCUSaurusRex

#Calcific #Knee

Calcific Knee Tendinitis ... on POCUS in a patient ... presenting with knee ... Tendinitis #clinical #POCUS ... #MSK #ultrasound

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Diagram of different types of bone tumors that can occur around the knee on XRay
Age <

occur around the knee ... @docskalski #Knee ... Radiology #XRay #MSK

"Appropriate patient positioning for lumbar puncture and location of the L4/L5 intercostal space"-McMaster Textbook of Internal

McMaster Textbook of Internal ... should be flexed at knees ... and hips, knees ... flexion towards the knees

Plankton Sign on Lung POCUS

Plankton sign = floating debris --> the swirling, punctiform internal echoes within

Plankton Sign on Lung POCUS ... swirling, punctiform internal ... Plankton #Sign #Lung #POCUS

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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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Posterior Shoulder Dislocation on POCUS

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

Dislocation on POCUS ... #Dislocation #POCUS ... clinical #ultrasound #MSK

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Ultrasound guidance for knee arthrocentesis.

Dr. Stephen Alerhand @SAlerhand

#Knee #Arthrocentesis #POCUS #clinical #ultrasound #MSK

Ultrasound guidance for knee ... @SAlerhand #Knee ... Arthrocentesis #POCUS ... clinical #ultrasound #MSK

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Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
• Color: Yellow-> Green
• Clarity: Opaque
• Viscosity: Low

Knee Effusions - ... analysis: • MSU ... Singh @rav7ks #Knee

Knee Effusion on POCUS

Subtle Knee effusion can be made more evident by milking the inferior joint

Knee Effusion on ... POCUS Subtle Knee ... @EmergOmBur #Knee ... #Effusion #POCUS ... ultrasound #clinical #Msk

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Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever

Internal Jugular ... Rouleaux Flow on POCUS ... Rouleaux #Flow #Internal ... Jugular #IJ #Vein #POCUS

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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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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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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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Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then

Adduction, and Internal ... #physicalexam #msk

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Suprapatellar Knee Hemarthrosis on POCUS
Note the supra-patella plica separating the physiological knee fluid from the blood

Suprapatellar Knee ... Hemarthrosis on POCUS ... physiological knee ... #Hemarthrosis #POCUS ... clinical #ultrasound #msk

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

Osgood-Schlatter Disease - MSK ... Schlatter #Disease #Knee ... Radiology #diagnosis #msk

Point of Care Ultrasound (POCUS) - Basics
Nomenclature:
- Echogenicity = brightness
- Hyperechoic = more echogenic

Care Ultrasound (POCUS ... center image if interest ... Brightness of image #pocus

Evaluation of Suprapatellar Knee Effusion (normal knee) on Point of Care Ultrasound (POCUS)

POCUS for knee effusions:

Suprapatellar Knee ... Effusion (normal knee ... Care Ultrasound (POCUS ... ) POCUS for knee ... #MSK #POCUS #Clinical

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Anatomy of the Knee X-ray - AP projection. ⁣⁣
It’s important to be able to identify the

Anatomy of the Knee ... Pal @drdevrad #knee ... ap #radiology #msk

Tricuspid regurgitation on Color Doppler POCUS Echocardiogram

Tricuspid regurgitation. High-pitched, holosystolic murmur best heard by lower

Color Doppler POCUS ... CT shows intense ... regurgitation #POCUS

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This is what hemarthrosis of the knee looks like on POCUS

From ultrasound rounds this past week

hemarthrosis of the knee ... looks like on POCUS ... #hemarthrosis #knee ... #POCUS #ultrasound ... #clinical #msk

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Introduction to several different airways an anesthesiologist can utilize or may encounter in practice, along with

In: StatPearls [Internet ... In: StatPearls [Internet ... In: StatPearls [Internet ... In: StatPearls [Internet ... Laryngeal Mask Airway

Knee Hemarthrosis-helpful to see side-by-side comparison views with MSK. BIG thanks to @dhjeong15 for all the

Knee Hemarthrosis-helpful ... comparison views with MSK ... jchristianfox #Knee ... #Hemarthrosis #pocus ... ultrasound #clinical #msk

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Medial Meniscus Bucket Handle Tear - MSK Radiology
Imaging Findings:
• Truncation of the medial meniscus on

Handle Tear - MSK ... BucketHandle #Tear #knee ... Radiology #diagnosis #msk

Point of Care Ultrasound (POCUS)

Echogenicity - Brightness
Probe Positioning
Transducer Orientation
Knobology (DAG):
• DEPTH - Can increase or

Care Ultrasound (POCUS ... center image if interest ... #Ultrasound #POCUS

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

burning (often intense ... Radiculopathy #MSK

Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3

fibrosis of skin and internal ... elbows/wrists and knees ... ssSSc) - fibrosing internal

Pre-patellar Bursitis on POCUS

- Dr. Lebret Yannick @ardoukoba40

#Prepatellar #Bursitis #POCUS #Knee #Ultrasound #Sports #Radiology #MSK #Clinical

Pre-patellar Bursitis on POCUS ... Prepatellar #Bursitis #POCUS ... #Knee #Ultrasound ... Sports #Radiology #MSK

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McMurray Test for Meniscal Injury on Knee Examination

From knee flexion to extension, assess for snapping, clicking,

Meniscal Injury on Knee ... Examination From knee ... • Internal ... McMurray #Test #Knee ... #orthopedics #msk

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Patellar Tendon in Osgood-Schlatter disease on POCUS

Dr. Mohammed Alshamsi @EmergOmBur

#OsgoodSchlatter #disease #POCUS #clinical #ultrasound #knee #doppler

Osgood-Schlatter disease on POCUS ... OsgoodSchlatter #disease #POCUS ... clinical #ultrasound #knee ... #doppler #msk

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Images of the knee were taken as well that demonstrated no significant joint effusion.

Dr. Michael Schick

Images of the knee ... Medicine #Clinical #MSK ... #POCUS #Knee #Normal

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Lipohemarthrosis on POCUS
Pain in L knee after injury. Long axis in suprapatellar recess. What's the diagnosis?
Answer:

Lipohemarthrosis on POCUS ... Pain in L knee ... Lipohemarthrosis #POCUS ... clinical #ultrasound #msk ... #knee

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Reduction of Patellar Dislocation
Most patellar dislocations are lateral, and they often reduce on their own.

the patient a knee ... Dislocation #Procedure #MSK ... #Knee #Clinical

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Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
• Arthritis
• Congenital hip dysplasia

Valgus position of knee ... signs #diagnosis #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 ... responding to internal ... prudent, and in the interest ... MentalStatusExam #MSE

Ultrasound Guided Knee Arthrocentesis

Use ultrasound for arthrocentesis! More accurate and less painful.
Ultrasound-guided versus landmark in

Ultrasound Guided Knee ... versus landmark in knee ... Kim @dan___kim #Knee ... Ultrasound #Guided #pocus ... #clinical #msk

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Complete Rupture of Patellar tendon on POCUS. See the Normal and Ruptured.

EMUSS @emuss_uk

#Rupture #Patellar #tendon #POCUS

Patellar tendon on POCUS ... Patellar #tendon #POCUS ... clinical #ultrasound #knee ... #msk #orthopedics

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Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
• Arrows identifying the characteristic edema-like signal

FOPE lesion) - MSK ... atraumatic adolescent knee ... Radiology #diagnosis #msk

Iliotibial Band Friction Syndrome - MSK Radiology
Imaging Findings:
• The iliotibial band (ITB) is thickened with

Friction Syndrome - MSK ... anterolateral knee ... Fluid in lateral knee ... connection to knee ... Radiology #diagnosis #msk

McMurray Test for Meniscal Injury on Knee Examination

From flexion to extension, assess for snapping, clicking, locking

Meniscal Injury on Knee ... • Internal ... McMurray #Test #Knee ... #orthopedics #msk

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Suprapatellar Hematoma on POCUS
Before knee arthrocentesis, be sure fluid is inside joint. Hypoechoic suprapatellar lesion, partly

Suprapatellar Hematoma on POCUS ... Before knee arthrocentesis ... Suprapatellar #Hematoma #POCUS ... ultrasound #clinical #msk ... #knee

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

head (age 3), internal ... #Orthopedics #MSK

Always reassuring to find Baker’s cyst (Speech Bubble sign)with #POCUS in patients sent by GP with

Bubble sign)with #POCUS ... pressure behind the knee ... #Bakers #Cyst #POCUS ... #MSK #Popliteal

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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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Pes Anserine Bursitis on POCUS
Pain in proximal medial shin. Maximal tenderness over the anechoic area adjacent

Anserine Bursitis on POCUS ... PesAnserine #Bursitis #POCUS ... #MSK #ultrasound ... #clinical #knee

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Baker's Cyst on POCUS
63yo w p/w pain and swelling behind knee. Probe on knee

Baker's Cyst on POCUS ... swelling behind knee ... Probe on knee crease ... , and bam - POCUS ... #clinical #msk

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Ultrasound guided arthrocentesis (knee) with a resident. Same principles apply for all ultrasound guided procedures.

arthrocentesis (knee ... UltrasoundStuff #Knee ... Arthrocentesis #POCUS ... clinical #ultrasound #MSK

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Checklist for removing PPE, using a tear-away gown here (this type of gown is preferred)
Inside the

Remove N95/surgicaI mask ... straps to pull the mask ... - Front of the mask ... straps of the mask ... @pulmcrit via Internet

Internal Jugular Vein Thrombosis on POCUS
Here's a great ultrasound showing an unexpected MASSIVE internal jugular vein

Internal Jugular ... Thrombosis on POCUS ... unexpected MASSIVE internal ... @EM_RESUS #Internal ... Vein #Thrombosis #POCUS

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General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
• Typically set at

filter • N95 mask ... Internet Book of

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

Patellar Instability on Knee Exam

Right knee s/p stabilization.
Left knee prior to surgery.

Clayton Nuelle, MD @NuelleSportsMD

#Patellar #Instability

Instability on Knee ... Exam Right knee ... Left knee prior ... #Instability #Knee ... #orthopedics #msk

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Knee Hyperextension Injury

Hyperextension injury of the knee while performing the leg press.

#Knee #Hyperextension #Injury #clinical #video

Knee Hyperextension ... injury of the knee ... #Knee #Hyperextension ... #physicalexam #msk

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Knee Joint Injection

Dr. Janet Pope @Janetbirdope

#Knee #Joint #Injection #clinical #video #rheumatology #procedure #msk

Knee Joint Injection ... Janetbirdope #Knee ... rheumatology #procedure #msk

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