12 results
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Care Ultrasound (POCUS ... with left sided CP ... CXR and CTA Chest ... #Subluxation #POCUS ... #Clinical #MSK
Atoll Sign (Reverse-Halo Sign) on Chest CT
 • Central GGO surrounded by a crescentic or circumferential
Sign) on Chest ... CT • Central GGO ... consolidation • DDx: COP ... #diagnosis #radiology ... #clinical
Polo Mint Sign on Chest CT
 • Partial filling defect in a blood vessel surrounded by
Chest CT • Partial ... surrounded by a rim ... contrast material ... #diagnosis #radiology ... #clinical
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... a chest x-ray ( ... CXR), try rotating ... not seen on a 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 ... course based on chest ... POCUS #clinical
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... Nasal polyps and signs ... Physical stigmata of cor ... high-resolution chest ... Laboratory: • ANA, RF, CCP
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... gallop rhythm), and laterally ... un lymphatic Diagnostic ... Chest x-ray: signs ... of CXR congestion
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... and Clinical Features ... is suspected: chest ... x-ray and/or CT ... #signs #symptoms
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
citrullinated peptide (CCP ... elderly persons - CCP ... titer, ACE level, CXR ... ANAs • RF and CCP ... years with neck, chest
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
) - Diagnosis and ... Management Pneumonia Signs ... • Pleuritic chest ... infiltrate by chest ... radiograph or CT