19 results
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... ” EI > 1 - POCUS ... #Ultrasound #echocardiogram ... #psax #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... #management #cardiology
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... on POCUS Echocardiogram ... sparing ("McConnell Sign ... #McConnells #Sign ... #POCUS #Echocardiogram
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
injuries: Fractures (medial ... can't make A-OK sign ... fracture • ED Management ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
compromise Clinical Signs ... Abdominal or flank ... be present or signs ... ultrasound as initial ... #management
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... injuries: Rare • ED Management ... of DRUJ MH/CCF ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... capitellum (age 1), radial ... can't make A-OK sign ... recommendations MH/CCF ... Radiology #XRay #Diagnosis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... ASA, Kussmaul's sign ... , marked pedal edema ... expiration not meeting diagnostic ... #a4c #pocus #clinical
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... fracture • ED Management ... recommendations MH/CCF ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Oliguria • Altered Mental ... Full Set of Vital Signs ... Setup - Ultrasound