9 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Serial trops (-) EM ... Admit ==> Positive ... Metoprolol - VCU ... #HCM #clinical ... #pocus
Positive FAST in the RUQ view demonstrating echogenic clot in Morison’s pouch with adjacent anechoic free
Positive FAST in ... free fluid (*) #Clinical ... #Diagnosis #EM ... #Trauma #Radiology ... #POCUS #FAST #FASTExam
Positive DVT study showing thrombus in the femoral vein (v), adjacent to the femoral artery (a)
Positive DVT study ... #Clinical #Diagnosis ... #EM #Radiology ... #Vasc #POCUS #DVT ... #Positive #Noncompressible
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
Petechiae or positive ... and no apparent focus ... enlargement >2 cm ... or ALT > 1000 IU ... classification #diagnosis
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
virus • CMV • EBV ... , chikungunya, dengue ... • Common clinical ... • Gram stain: Positive ... #neurology #meningitis
Aortic aneurysm (aaa) measuring 6 cm wide with mural thrombus (asterisks) #Clinical #Diagnosis #EM #Radiology #Vasc
aaa) measuring 6 cm ... thrombus (asterisks) #Clinical ... #Diagnosis #EM ... #Radiology #Vasc ... #POCUS #AAA #MuralThrombus
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
- Differential Diagnosis ... cells per μL • Diagnosis ... should be based on clinical ... effect/Edema • EBV ... and <25% culture positive
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 ... #POCUS #FAST #FASTExam
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Pertinent positives ... This patient’s clinical ... #Radiology #CTChest