14 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 ... #PhysicalExam #clinical ... #video #trauma
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 ... #PhysicalExam #clinical ... #video #trauma
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Point of Care Ultrasound ... , SOB, rib splinting ... No hx of trauma. ... CXR and CTA Chest ... Subluxation #POCUS #Clinical
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
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
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill • Ultrasound ... Maternal Support - Critical ... obgyn #diagnosis #management
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
US beats CXR on ... Most CXR are wasted ... orient in line on long ... course based on chest ... #ultrasound #trauma
Pneumonia with Air Bronchograms on Lung POCUS

This patient presents with shortness of breath. What is your
presented with 4d of sob ... similar findings on CXR ... after PoC US Labeled ... POCUS #Pulmonary #clinical ... #ultrasound
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
x-ray (CXR), try ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver ... #Lung #Pulmonary
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... : weight gain, lung ... Chest x-ray: signs ... → no signs of CXR ... heartfailure #diagnosis #management