10 results
Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest
Double Apical Impulse ... stick taped to the chest ... #PhysicalExam #Video ... #Signs #Cardiology ... #NEJM
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... POCUS (apical window ... Echocardiogram #A4c ... #clinical #cardiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... Splint: Thumb spica ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... Splint: Posterior long ... Radial #Distal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
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 ... #XRay #Diagnosis
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... • ED Management ... Splint: Posterior long ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
patients w/ different diagnoses ... demonstrate an apical ... infarct or acute chest ... Echocardiogram #clinical #cardiology ... #a4c #labeled
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
laterally displaced apical ... : weight gain, lung ... HFrEF may lack lung ... Chest x-ray: signs ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
one post op Cardiology ... X-ray: • Not ... unless prior heart/lung ... medical and surgical management ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... on a chest x-ray ... wall, a chest x-ray ... #Radiology #CTChest ... #Lung #Pulmonary