19 results
Flail Chest on Physical Exam

Anterior flail chest post MVA, see seatbelt sign as another clue

Neville @docvlok

#Flail
Flail Chest on Physical ... Anterior flail chest ... docvlok #Flail #Chest ... #PhysicalExam # ... clinical #video #trauma
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... 's female with chest ... Differential/diagnosis ... POCUS (apical window ... RV, McConnell's sign
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... the paradoxical chest ... to incr WOB + chest ... Breathing #Pattern #Trauma ... Video #Clinical #PhysicalExam
Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest
Double Apical Impulse ... stick taped to the chest ... #Double #Apical ... Impulse #S4 #Gallop #PhysicalExam ... #Video #Signs #
Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
Double Apical Impulse ... www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs ... ) taped to the chest ... Impulse #S4 #Gallop #PhysicalExam ... #Video #Signs #
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Pulmonary Embolism (chest ... Hypertension - Chest ... Injury • Trauma ... Disorder • Spinal
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... demonstrate an apical ... kinetic RV with apical ... infarct or acute chest ... #POCUS #Echocardiogram
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Metastatic tumors: Breast ... esophageal perforation. chest ... trauma) Indirect ... injury Blunt chest ... #Pericarditis #Differential
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign ... on POCUS Echocardiogram ... hypokinetic RV with apical ... infarct & acute chest ... #POCUS #Echocardiogram
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... • Decompress chest ... thoracostomy, chest ... tube • Consider chest ... source: Head/scalp, Chest