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diagnosis clinical trauma ultrasound differential radiology signs algorithm assessment causes chesttube chestxray complications contusion cxr drains empyema extraarticular loculated management
Pertinent Chest x-ray Findings in the Trauma Patient and Implications Respiratory distress without x-ray findings - Central
Pertinent Chest ... places - Flail chest ... vessel injury, sternal ... air leak after chest ... pattern in the chest
Sternal fracture on POCUS. 60 year old PT, fell on her chest 4 days ago, tender
Sternal fracture ... PT, fell on her chest ... 4 days ago, tender ... central mid chest ... #Sternum #Fracture
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 Rib Fracture on POCUS Instead of poorly-sensitive and time-consuming chest xray for rib fracture, instead just “Point
Rib Fracture on ... time-consuming chest ... xray for rib fracture ... #Fracture #POCUS ... #ultrasound #msk
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 Chest Trauma Complications - Differential Diagnosis Algorithm Cardiac: • Cardiac Tamponade* • Pericarditis • Myocardial Contusion •
Wall: • Rib Fractures ... • Flail Chest ... Esophageal Injury Lung ... : • Pulmonary ... Pneumothorax (Tension
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Rib Fractures Rib ... fracture on a chest ... wall, a chest x-ray ... #Radiology #CTChest ... #Lung #Pulmonary
Empyema on POCUS 89-year-old male with fever and dyspnea. Lung ultrasound reveals what chest x-ray hides -
Empyema on POCUS ... Lung ultrasound ... reveals what chest ... x-ray hides - Loculated ... #Clinical #Pulmonary
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 Rheumatoid arthritis (RA): Extra-articular manifestations Skin: • Inflammation of skin (esp. over areas of stress) forms
Pericarditis) -> Chest ... Dyspnea, pleuritic chest ... pain, pleural effusion ... RA inflammation tends ... disease/pulmonary
Rib fractures on POCUS 1. look for a discontinuity at the site of pain and tenderness
Rib fractures on ... in line on long ... course based on chest ... completely replace x-ray ... #Rib #fracture #
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 Assessment of Chest Tube Drains Stepwise assessment of Chest Tube Function TUBE POSITIONING • Look at the CXR:
injury to the lung ... large injury to lung ... suction to large effusions ... pneumothorax • 24-28 Fr tension ... drainage of an effusion
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
is the defining feature ... Other tests: • CT chest ... LVEF, pericardial effusion ... sparing of the lung ... typically seen on chest
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