14 results
Lung Ultrasound for Diagnosing Pneumonia - Scan through 6 zones (3 per side) 1. Midclavicular line
Lung Ultrasound ... per side) 1. ... anterior chest 2. ... Peds #EM #PICU #POCUS ... Technique #Zones #ALiEM
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Pearls: #1 Confirm ... an IUP or not. #2 ... at the bedside #3 ... #Ultrasound #POCUS ... #clinical #obgyn
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
• Person who lives ... criteria: 1 ... and no apparent focus ... bleeding: based on evaluation ... classification #diagnosis
Lung Findings on Physical Exam
Crackles:
 • Short, discontinuous, sounds mostly heard during inspiration
 • Caused by
Lung Findings on ... Exam Crackles: • Short ... Pectoriloquy: • Whisper "1- ... 2-3" • The presence ... #PhysicalExam #diagnosis
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
PERIPHERAL VERTIGO 1. ... vertigo (BPPV) - Short-lived ... older adults. 2. ... Long symptom-free ... #differential #diagnosis
Small Bowel Obstruction on POCUS

This 28yo female with history of Crohn's disease presents with abdominal pain,
abdominal pain, nausea ... for this SBO, diagnosed ... specificity using 1) ... small bowel), 2) ... of >2.5cm, and 3)
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
clinical forms: 1) ... Rhinocerebral 2) ... Pulmonary 3) Abdominal ... , pelvic, gastric ... Inhalation of spores
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
1. look for a ... and tenderness 2. ... wasted on rib fx 3. ... beyond a clinical diagnosis ... #clinical #ultrasound
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
first step in evaluation ... Sarcoidosis) • Liver ... ovarian tumors, lung ... /light chain) 3. ... #differential #diagnosis
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
during clinical evaluations ... a 3-6% drop in ... Hct in the first 2 ... deficiencies • Renal, liver ... dL between days 3-