19 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
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Findings in the Trauma ... 9 to 12 - Abdominal ... viscus #cxr ... #chestxray #trauma ... #diagnosis #signs
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Care Ultrasound (POCUS ... , SOB, rib splinting ... No hx of trauma. ... CXR and CTA Chest ... #Clinical #MSK
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
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign on Chest ... hemidiaphragm and the liver ... thus important to diagnose ... it correctly so ... #XRay #CXR #clinical
Pneumoperitoneum vs Pseudo-Pneumoperitoneum aka Chilaiditi Sign
It mimics pneumoperitoneum and it is thus important to diagnose it
thus important to diagnose ... it correctly so ... colon) between the liver ... Chilaiditi #Sign #clinical ... #radiology #cxr
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
US beats CXR on ... Most CXR are wasted ... diagnosis; the ... POCUS #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 ... ) Differential Diagnosis ... Maternal Support - Critical ... obstetrics #obgyn #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
trauma are diagnosed ... x-ray (CXR), try ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver