10 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... Chest x-ray: signs ... → no signs of CXR ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Post-Arrest Liver Laceration on POCUS
Liver laceration can occur secondarily to chest compressions. Delays in detecting post-arrest
Post-Arrest Liver ... Liver laceration ... secondarily to chest ... UAlberta_Sono #Liver ... #trauma #ultrasound
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Free Air on Abdominal ... POCUS - Enhanced ... Peritoneal Stripe Sign ... peritoneum and liver ... #ultrasound #radiology
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
In the lungs LV ... dependent tissues and abdominal ... can be seen on a chest-film ... #CHF #CXR #Features ... #Findings #Diagram
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... 1 — Treat the lungs ... (no B-lines on ultrasound ... #Checklist #CHF ... #HeartFailure #Cardiology
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... e.g. incidental CXR ... dyspnea, cough, chest ... heart (2-5%), liver ... #Signs #Symptoms
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Pulmonary 3) Abdominal ... aches, joint pain, chest ... normal glucose level ... change in the lungs ... Fungal #Diagnosis #Management
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 ... change CV risk Chest ... unless prior heart/lung ... medical and surgical management
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... x-ray (CXR), try ... consider intra-abdominal ... bleeding often from a liver ... #Lung #Pulmonary