9 results
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
thrombolysed with SK ... and tamponade!! ... Echocardiogram #POCUS ... #clinical #cardiology ... #a4c
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... and additional clot ... Echocardiogram #A4c ... #clinical #cardiology
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
sail sign or posterior ... can't make A-OK sign ... Splint: Posterior long ... #XRay #Diagnosis ... #Orthopedics #MSK
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
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
, neuropraxia (anterior ... can't make A-OK sign ... Splint: Posterior long ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... Chest x-ray: signs ... bilateral pleural effusions ... #management #cardiology
CABG Graft Pseudoaneurysm

Chest pain post CABG - always worth taking a look!  Large graft pseudoaneurysm!!
COPD lungs and bad ... pseudoaneurysm with a clot ... and emphysema, ask ... the diagnosis, ... Pseudoaneurysm #clinical #pocus
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... one post op Cardiology ... X-ray: • Not ... unless prior heart/lung ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
over the left anterior ... Vital signs: BP ... wall, a chest x-ray ... #Radiology #CTChest ... #Lung #Pulmonary