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
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... fracture • ED Management ... Splint: Posterior long ... recommendations MH/CCF ... Dislocation #Posterior #Radiology
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 ... Elbow #Humerus #Radiology ... #Orthopedics #MSK
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Checklist Evaluation ... 1 — Treat the lungs ... (no B-lines on ultrasound ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest ... ultrasound (exclude ... workup or TSH level ... monitoring (vital signs ... #Management #CriticalCare
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... , Chest Pain • ... 10% above this level ... #cardiology
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 ... Radial #Distal #Radiology ... #Orthopedics #MSK
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs
Preoperative Risk Evaluation

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