8 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,
on Lung POCUS ... hours later on cxr ... supportive care Labeled ... #clinical #ultrasound ... #trauma
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... So we can assume ... resulting in the obstruction ... #Clinical #Radiology ... #CXR #Pneumothorax
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
Small Bowel Obstruction ... hemoperitoneum from trauma—every ... Labeled Schematic ... Ascites #POCUS #Abdominal ... #clinical #ultrasound
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 ... identificaton of obstructive
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
attached to the chest ... So we can assume ... resulting in the obstruction ... #Clinical #Radiology ... #CXR #Pneumothorax
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 ... #Radiology #CTChest ... #Lung #Pulmonary