26 results
Thigh pain/tenderness with minimal overlying skin changes. 😮 Diagnosis?

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Necrotizing myositis/fasciitis. To the OR!

- Sarah Medeiros @DrSarahEM

#Clinical
minimal overlying skin ... Necrotizing myositis/fasciitis ... @DrSarahEM #Clinical ... #POCUS #Necrotizing ... #Fasciitis #Cobblestoning
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Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
thrombophlebitis Skin ... Abscess, Necrotizing fasciitis ... band syndrome • Shin ... Brittle nails - Skin ... skin • Inflammation
Cobblestoning on POCUS

This clip demonstrates cobblestoning, indicated by the dotted oval.  While peripheral edema from
Cobblestoning on ... POCUS This clip ... demonstrates cobblestoning ... #POCUS #clinical ... #ultrasound #skin
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Necrotizing Fasciitis on Physical Exam

Showing early skin necrosis and gangrene.  Requires immediate fasciotomy.

#Necrotizing #Fasciitis #PhysicalExam
Necrotizing Fasciitis ... Showing early skin ... #Necrotizing #Fasciitis ... #PhysicalExam #clinical ... #video #skin #cellulitis
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Cobblestoning in the setting of cellulitis on POCUS
Hyperechoic inflamed subcutaneous fat outlined by edema into appearance
Cobblestoning in ... cellulitis on POCUS ... #cellulitis #POCUS ... #clinical #skin ... #ultrasound
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Superficial thrombophlebitis on POCUS

30ish yo presents with R forearm arm pain and rash. Mild erythema and
Soft tissue POCUS ... surrounding cobblestoning ... #Ultrasound #Skin ... #Cobblestoning ... #Clinical #Cobblestone
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Necrotizing Fasciitis on Point of Care Ultrasound (POCUS)

Look at the superficial soft tissue for hyperechoic punctate
Necrotizing Fasciitis ... Point of Care Ultrasound ... (POCUS) Look ... #Skin #SoftTissue ... #Ultrasound #Clinical
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Point-of-care Ultrasound for Diagnosis of Abscess in Skin and Soft Tissue Infections

1. POCUS is more accurate
Point-of-care Ultrasound ... Skin and Soft Tissue ... POCUS is more accurate ... abscess is not clinically ... POCUS has a negative
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
Palpable Skin Crepitus ... bubbles under the skin ... air under the skin ... #skin #Palpable ... #PhysicalExam #Clinical
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Soft Tissue Infection with Cobblestoning and hyperechoic "dirty shadowing" on POCUS

60yo male with h/o diabetes presents
Infection with Cobblestoning ... shadowing" on POCUS ... DirtyShadowing #Skin ... Infection #SSTI #POCUS ... #Clinical #Cobblestone
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