10 results
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Findings in the Trauma ... esophagus Air fluid level ... viscus #cxr ... #chestxray #trauma ... #diagnosis #signs
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... of CXR congestion
Post-Arrest Liver Laceration on POCUS
Liver laceration can occur secondarily to chest compressions. Delays in detecting post-arrest
secondarily to chest ... post-arrest intra-abdominal ... #Laceration #cpr ... #POCUS #clinical ... #trauma #ultrasound
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
example of 'shred sign ... This POCUS finding ... multifocal pneumonia on CXR ... eabramsMD #Shred #sign ... #pneumonia #clinical
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
presents with fever ... frequently have lung ... emboli (see CT cor ... #clinical #cardiology ... #s4c
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... Exam #Positive #Abdominal ... #POCUS #clinical ... #Trauma
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
guarding/peritoneal signs ... re-exams (normal CXR ... SIGNS: (alluding ... CULLENS SIGN --> ... GREY TURNER SIGN
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... renal failure Clinical ... e.g. incidental CXR ... dyspnea, cough, chest ... Diagnosis #Management #Signs
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... • Pleuritic chest ... Uremia (blood urea ... nitrogen level ... infiltrate by chest
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... x-ray (CXR), try ... not seen on a CXR ... consider intra-abdominal ... Radiology #CTChest #Lung