52 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
fractures missed by CXR ... , so use CT to identify ... also pulmonary ... #PhysicalExam #clinical ... #pulmonary
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... DCed. 2/2 blood cx ... fusobacterium, so ... Hepatic #POCUS #Clinical ... #Ultrasound #Abdominal
Free Air at the Peritoneal Line on POCUS

Chief Complaint: "my girl stabbed me"

Labeled Diagram: https://twitter.com/EUSmkh/status/752864010337415169

- Dr.
stabbed me" Labeled ... EUSmkh #FreeAir #Abdominal ... POCUS #Ultrasound #Clinical ... Intraabdominal #Trauma
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
fractures missed by CXR ... , so use CT to identify ... also pulmonary ... #PhysicalExam #clinical ... #pulmonary
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Findings in the Trauma ... Pneumothorax, pulmonary ... ribs 9 to 12 - Abdominal ... viscus #cxr ... #chestxray #trauma
Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
Trauma - Paradoxical ... separating a segment, so ... Breathing #Pattern #Trauma ... #Video #Clinical ... #PhysicalExam #Pulmonary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Insufficiency, Liver ... • Obstructive: Pulmonary ... Severe auto-PEEP, Abdominal
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
simple) ascites on Abdominal ... ) secondary to SBP ... Labeled Schematic ... Complex #POCUS #clinical ... #ultrasound #SBP
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
pits <100k), ↑ liver ... insufficiency (Cr ... ), pulmonary edema ... hemolysis, elevated liver ... have high clinical
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
hemidiaphragm and the liver ... diagnose it correctly so ... #Chest #XRay #CXR ... #clinical #radiology