11 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Scapholunate Dissociation ... distal radius fracture ... , scaphoid fracture ... unless associated fracture ... #Dissociation #TerryThomas
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pneumothorax, pulmonary ... contusion Fracture ... - Airway or great ... - Flail chest, pulmonary ... vessel injury, pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Four rib fractures ... additional rib fracture ... identify also pulmonary ... Chest #Breathing #PhysicalExam ... video #trauma #pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Four rib fractures ... additional rib fracture ... identify also pulmonary ... Chest #Breathing #PhysicalExam ... video #trauma #pulmonary
Lung Findings on Physical Exam
Crackles:
 • Short, discontinuous, sounds mostly heard during inspiration
 • Caused by
collapsed distal airways ... alveoli as seen in pulmonary ... extra-thoracic airway ... Lung #Findings #Pulmonary ... #PhysicalExam #
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Mechanical: • Larynx fracture ... diagnosis #causes #pulmonary ... #airway #physicalexam
Digital clubbing found in a 64 year old woman seen for pathological patellar fracture after a
pathological patellar fracture ... clinical #photo #pulmonary ... #physicalexam
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
because narrowed airways ... Breathing #Patterns #Pulmonary ... Abnormal #Diagnosis #PhysicalExam
Stridor from Vocal Cord Paralysis on Physical Exam (Audio)

The video shows high-pitched noise (stridor) from vocal
dyspnea: is there an airway ... Cord #Paralysis #PhysicalExam ... clinical #video #pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
non-threatening pulmonary ... monitored for airway ... Pulmonary Contusion ... vehicle crashes, pulmonary ... CTChest #Lung #Pulmonary