22 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
ED arrival MSK ... posterior shoulder - AC ... especially with AC ... Electricity #Evaluation #Diagnosis ... #Management #Emergency
Classification of Pelvic Ring Fractures: Mechanisms, Clinical Features and Complications
 • Anterior Posterior Compression (APC) -
possible vascular injury ... vs auto) - LC ... - Type 1 or 2 injury ... #Orthopedics #MSK ... #diagnosis #complications
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
acute cardiac injury ... VF, Myocardial injury ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
lymphocyte count = ALC ... at 48 hours • ALC ... prognosis • ALC ... #Toxicity #diagnosis ... #management
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
pattern of liver injury ... , AIH diagnosis ... Anti-LKM & Anti-ALC ... Hepatitis (eg Viral) Management ... #Management #Hepatology
Intramuscular Calf Hematoma on POCUS
80 y/o older man. CAD + DAPT.  Working on fishing boat.
Calf Hematoma on POCUS ... POCUS with no DVT ... empiric AC would ... look for other causes ... #msk #ultrasound
â–º
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Acromioclavicular (AC ... Diagnosis? ... Scan over AC joint ... AC joint septic ... clinical #ultrasound #MSK
â–º
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
• AC/VC (VTE/RR/ ... P plateau) • AC ... /PC (PC/PEEP/RR/ ... / TUBES: know gauges ... #CriticalCare #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... : Hyperflexion injury ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... www.ncbi.nlm.nih.gov/pmc ... liver or renal injury ... / hypoxemia -> focus ... gluconeogenesis Liver Injury