19 results
Traumatic Splenic Hematoma on LUQ FAST Exam

31 yo M. Minor blunt trauma from bicycle accident. No
Minor blunt trauma ... Grade 4 spleen fracture ... Hematoma #Spleen #Fracture ... #Clinical #Ultrasound ... #Trauma #POCUS
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Endocarditis) • Fat ... Embolism (e.g. fractured ... long bone) • ... Disruption • Trauma ... (Hemophilia or Trauma
Fat Embolism Syndrome
Trauma to the long bone or pelvis accounts for —9096 of cases. The diagnosis
Fat Embolism Syndrome ... Trauma to the ... long bone or pelvis ... masked in the trauma ... stabilization of fractures
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
Supracondylar Elbow Fracture ... elbow x-ray review alignment ... radiocapitellar lines), fat ... sign or posterior fat ... Splint: Posterior long
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
, CMV, VZV • Trauma ... CA, small cell lung ... than AST • GGT ... NT: ↑ - ALP > AST ... hematoma) • AST
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
/hemorrhage on FAST ... Has femur fracture ... FAST exam done. ... #Positive #trauma ... #clinical #ultrasound
Positive FAST exam at the caudal liver edge

Ultrasound isn't as sensitive for solid organ injury, but
Positive FAST exam ... edge Ultrasound ... Free Fluid on the FAST ... #positive #trauma ... #caudal #ultrasound
Positive LUQ on FAST Exam - Rupture Spleen

POCUS pearl: the splenorenal ligament tethers the spleen and
Positive LUQ on FAST ... the splenorenal ligament ... for a complete FAST ... Spleen #clinical #trauma ... #ultrasound #splenic
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
by presence of fat ... bone fractures ... fibula) and hip fractures ... bone fractures ... H/O antecedent trauma
Positive FAST Exam Perihepatic Window

Multiple pts. with significant injuries from MVC. Young adult with femur fracture
Positive FAST Exam ... adult with femur fracture ... FAST performed. ... Clinical #POCUS #Ultrasound ... #RUQ #Trauma