7 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 ... contusion Dr. ... #PhysicalExam #clinical ... #pulmonary
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 ... contusion Dr. ... #PhysicalExam #clinical ... #pulmonary
Pulmonary Contusion on Lung POCUS

A 20yo M presents after high speed MVA. BP 140/80, HR 95,
Pulmonary Contusion ... hours later on cxr ... supportive care Labeled ... POCUS #BLines #clinical ... #ultrasound #trauma
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
(myocardial contusion ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... neuraxial anesthesia), Liver ... Shock #diagnosis #differential
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
pits <100k), ↑ liver ... ), pulmonary edema ... hemolysis, elevated liver ... have high clinical ... obstetrics #cardiology #differential
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
re-exams (normal CXR ... Severe abdominal ... injuries to spleen, liver ... pattern on your differential ... #Injury #clinical
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver ... Pulmonary Contusion