11 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... coronary artery disease
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
injuries: Fractures (medial ... can't make A-OK sign ... fracture • ED Management ... Splint: Posterior long ... Radiology #XRay #Diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... Splint: Posterior long ... of DRUJ MH/CCF ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... capitellum (age 1), radial ... can't make A-OK sign ... Splint: Posterior long ... Radiology #XRay #Diagnosis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... , marked pedal edema ... , and clear lungs ... expiration not meeting diagnostic ... #a4c #pocus #clinical
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
causes (chronic lung ... Transthoracic echocardiogram ... m/s • Other signs ... who respond to medical ... #management #hepatology
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
incomplete Kawasaki Disease ... clinical and lab signs ... #Diagnosis #Peds ... #Pediatrics #Kawasaki ... #Algorithm
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
Trypanosomiasis - Diagnosis ... and Management ... Romana's sign ... Indeterminate form (No signs ... cardiomyopathy (→HF
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... fatigue, altered mental ... Signs of congestion ... #algorithm #management ... #heartfailure #chf
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
bilateral, malignant, pediatric ... Symptoms and Signs ... temperature >40C), mental ... common symptoms and signs ... Treatment • Operable disease