10 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Palmar erythema 2) ... Wilson's disease 3) Chest ... fluid, Dilated abdominal ... #disease #signs
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
2 patients w ... strain related to pulmonary ... infarct or acute chest ... #clinical #cardiology ... #a4c #labeled
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• CT: Halo sign ... CMV: • 2-4 ... lymphadenopathy, • Abdominal ... Hyponatremia • Elevated hepatic ... Infections #HIV #AIDS #pulmonary
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Diagnosis and Clinical ... classically purple abdominal ... 5) Secondary hypertension ... infections 7) Peptic ... Hypercortisolism #Diagnosis #signs
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... murmur 3/6) - Pulmonary ... algorithm to determine ... Change in clinical ... undergoing AAA or upper abdominal
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... Rhinocerebral 2) ... Pulmonary 3) Abdominal ... aches, joint pain, chest ... fungal stain of clinical
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
: - Fever + ANC ... suspected) - CT chest ... CT abdomen if abdominal ... ICANS: altered level ... renal failure, pulmonary
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... urea nitrogen level ... low ranging from 2% ... procalcitonin level ... Management #treatment #Pulmonary
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... disease and pulmonary ... hypertension? ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... /50 Rule (part 2) ... seen on a CXR.2 ... consider intra-abdominal