9 results
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 ... → no signs of CXR ... #management #cardiology
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
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
in diagnosing cardiac ... for definitive management ... EM Res @MetroHealth_EM ... #POCUS #clinical ... ultrasound #trauma #cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... fracture • ED Management ... Splint: Posterior long ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
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 ... #algorithm #management ... #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
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
patients with no signs ... revealed 19% had cardiac ... - Lung, Pancreas ... Clinical Findings ... #Management #Cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Vital signs: BP ... structural and vascular ... #Lung #Pulmonary