9 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Typical symptoms ... Less Typical Symptoms ... : cough, abdominal ... distension, wheeze, abdominal ... identificaton of obstructive
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
urinary tract outlet obstruction ... /Symptoms: • Usually ... Abdominal or flank ... be present or signs ... ultrasound as initial
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... A4C #clinical #ultrasound ... #cardiology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Presentation: Systemic Symptoms ... purpura: Strong sign ... • Progressive symptoms ... gut involvement, abdominal ... Glomerulonephritis, arthritis, obstructive
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Glomerulonephritis, arthritis, obstructive ... - GI tract: abdominal ... Presentation - Systemic Symptoms ... purpura: strong sign ... Supply gut -> abdominal
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... importantly, bedside ultrasound ... with presence of pulmonary ... #heartfailure #chf
Small Bowel Obstruction
67 y/o M with PMH colon cancer s/p resection and colostomy, multiple SBO managed
and increasing abdominal ... diagnosis of SBO ... You do not see signs ... Medicine #Clinical #Radiology ... #POCUS #AbdominalUS
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... related to the pulmonary ... and in chronic obstructive ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... Several of the diagnoses ... This post will focus ... consider intra-abdominal ... #Radiology #CTChest