12 results
Positive FAST in the RUQ view demonstrating echogenic clot in Morison’s pouch with adjacent anechoic free
free fluid (*) #Clinical ... #Diagnosis #EM ... #Trauma #Radiology ... #POCUS #FAST #FASTExam ... #ALiEM
Nocardiosis - Nocardia spp
Pathogen: Filamentous gram-positive branching rod, grows in acid fast staining and anaerobic conditions
Clinical
Filamentous gram-positive ... anaerobic conditions Clinical ... 9%, up to 20% lung ... #management #microbiology ... #infectiousdiseases
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... absence of intrinsic lung ... shunt (Type 2) Clinical ... Arterial blood gas (ABC ... on radioactive lung
Positive FAST in LUQ view demonstrating large amount of complex free fluid (*) below the diaphragm
Positive FAST in ... green arrows) #Clinical ... #Diagnosis #EM ... #Trauma #Radiology ... #SplenoRenal #ALiEM
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... venous pressure, positive ... : weight gain, lung ... HFrEF may lack lung ... #management #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
Hypotension in trauma ... in diagnosing cardiac ... for definitive management ... #clinical #ultrasound ... #s4c
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... Biopsies remain positive ... GCA #Temporal #Signs ... #Management
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
resembling the position ... spinal reflex arc ... Long-term survival ... after brain death diagnosis ... #PhysicalExam #clinical
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
chest (in a V-sign ... auricular papules Clinical ... NXP-2 antibody positive ... Non-small-cell lung ... #management #rheumatology