10 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
missed by non-trauma ... fractures missed by CXR ... , so use CT to identify ... also pulmonary contusion ... #PhysicalExam #clinical
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
missed by non-trauma ... fractures missed by CXR ... , so use CT to identify ... also pulmonary contusion ... #PhysicalExam #clinical
Pulmonary Contusion on Lung POCUS

A 20yo M presents after high speed MVA. BP 140/80, HR 95,
which is the best management ... hours later on cxr ... supportive care Labeled ... POCUS #BLines #clinical ... #ultrasound #trauma
Post-Arrest Liver Laceration on POCUS
Liver laceration can occur secondarily to chest compressions. Delays in detecting post-arrest
secondarily to chest ... post-arrest intra-abdominal ... #Laceration #cpr ... #POCUS #clinical ... #trauma #ultrasound
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Recent history of trauma ... organ damage Clinical ... DIC • Severe Liver ... + Bleeding Treatment ... #management #hematology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Rhabdomyolysis: • Trauma ... Dermatomyositis Clinical ... Tachycardia - N/V - Abdominal ... ) • AKI: BUN/Cr
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... /Symptoms: • Confusion ... • Pleuritic chest ... infiltrate by chest ... Yield of blood CX
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery, trauma ... indicated, start CPR ... drainage are vital, so ... thoracotomy is a better treatment ... Plan definitive management
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... x-ray (CXR), try ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... Pulmonary 3) Abdominal ... aches, joint pain, chest ... fungal stain of clinical ... Fungal #Diagnosis #Management