12 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... Splint: Posterior long ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... Splint: Posterior long ... of DRUJ MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... excludes other differentials ... that’s called “clinical ... ’s called Frog sign ... #Neck #Frog #Sign
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... Splint: Posterior long ... recommendations MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
and lung ultrasound ... (exclude other lung ... Phos), CBC with differential ... Pyridostigmine - New diagnosis ... monitoring (vital signs
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... ECG is vital while ... #diagnosis #differential ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... Change in clinical ... - Peripheral vascular ... one post op Cardiology ... unless prior heart/lung