shock clinical video msk

Reduction #Posterior #clinical ... #video #msk #sports

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Cardiogenic Shock: Pathogenesis, complications and clinical findings

#Cardiogenic #Shock #pathophysiology #cardiology #diagnosis #signs #symptoms

Cardiogenic Shock ... complications and clinical ... #Cardiogenic #Shock

Olecranon Bursitis on Elbow Examination

Video via @inertiamedical

#Olecranon #Bursitis #msk #sports #orthopedics #elbow #physicalexam #clinical #video

Examination Video ... Olecranon #Bursitis #msk ... #physicalexam #clinical ... #video

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Anterior Cruciate Ligament Injury seen with positive Anterior Drawer Test

#Anterior #Cruciate #Ligament #ACL #Injury #Drawer #Test

#physicalexam #clinical ... #video #msk

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Winged Scapula on Physical Exam

Caused by injury to the long thoracic nerve

#Winged #Scapula #PhysicalExam #clinical #video

#PhysicalExam #clinical ... #video #neurology ... #msk

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Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
- Patient with knee in extension. Push posterior on

of patella then ask ... Patellar #Grind #clinical ... #video #physicalexam ... Patellofemoral #msk

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Dislocated Shoulder Reduction

#Shoulder #Reduction #MSK #PhysicalExam #Procedure #Orthopedics #clinical #video #dislocation

Shoulder #Reduction #MSK ... #Orthopedics #clinical ... #video #dislocation

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Hip Reduction after Dislocation

#Hip #Reduction #Dislocation #clinical #video #physicalexam #sports #orthopedics #msk

#Dislocation #clinical ... #video #physicalexam ... #orthopedics #msk

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#Dislocation #clinical ... #video #orthopedics ... #physicalexam #msk

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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock

along the peri-shock ... to full shock spectrum ... , based on clinical ... #Obstructive #Shock

along the peri-shock ... to full shock spectrum ... , based on clinical ... #Distributive #Shock

Dupuytren's Contracture (Palmar Fibromatosis) on Physical Exam

#Dupuytrens #Contracture #Palmar #Fibromatosis #clinical #video #physicalexam #msk #hand #orthopedics

#Fibromatosis #clinical ... #video #physicalexam ... #msk #hand #orthopedics

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Normal (Negative) Lachman Test for ACL Injury

Andrew Dold, MD @dr.dold.md

#Lachmans #test #ACL #Knee #Injury #Normal #Negative

Normal #Negative #clinical ... #video #PhysicalExam ... cruciate #ligament #msk

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Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads

compensatory responses to shock ... Shock can be caused ... Shock can also present ... The cause of shock ... is often clinically

Patellar Fracture Injury - Patellar Rupture caught in real-time during an MMA match.

#Patellar #Fracture #Injury #clinical

Fracture #Injury #clinical ... #video #Rupture ... #orthopedics #msk

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Achilles Tendon Rupture in Slow Motion

Dr. Boris Gojanovic @DrSportSante

#Achilles #Tendon #Rupture #SlowMotion #clinical #Video #Sports #Mechanism

Rupture #SlowMotion #clinical ... #Video #Sports ... #PhysicalExam #msk

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Split, Fractured Patella on Knee Exam

30 years old male, 10 years post motorbike accident. Split,

#PhysicalExam #clinical ... #video #msk #orthopedics

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Achilles Tendon Rupture in Slow Motion

Achilles injury in a sprinter.

#Achilles #Tendon #Rupture #clinical #video #physicalexam #orthopedics

Tendon #Rupture #clinical ... #video #physicalexam ... #orthopedics #msk

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Achilles Tendon Rupture in Slow Motion

Caused by high speed knee extension with ankle dorsiflexion.

Dr. Boris Gojanovic

Rupture #SlowMotion #clinical ... #Video #Sports ... #PhysicalExam #msk

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Bilateral Biceps Tendon Rupture Injury

Bilateral bicipital rupture sustained during curling exercise.

#Biceps #Tendon #Rupture #Injury #Bilateral

Injury #Bilateral #clinical ... #video #physicalexam ... orthopedics #sports #MSK

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Valgus Stress Test in MCL Injury

In this video you can have a great visual of a

Injury In this video ... Injury #Positive #Clinical ... #Video #PhysicalExam ... collateral #ligament #msk

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Bilateral Winged Scapula on Physical Exam - Seen in Facioscapulohumeral Muscular Dystrophy (FSH, FSHD)

#Bilateral #Winged #Scapula

Dystrophy #FSH #FSHD #clinical ... #video #msk

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Sulcus Sign on Shoulder Exam

Positive sulcus sign in a shoulder with multidirectional instability.

Downward force applied at

#PhysicalExam #clinical ... #video #msk #orthopedics

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Positive J-Sign - Maltracking Patella on Knee Physical Exam

The J sign correlates with poor patellar tracking

PhysicalExam #Patella #clinical ... #video #msk #orthopedics

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Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting

Shock Overview ... of hypotension Shock ... death Common Clinical ... Distributive Shock ... ) Cardiogenic Shock

Shoulder Effusion Ballottement on Physical Examination

Shoulder effusion. You can ballot and see fluid return at posterior

#PhysicalExam #msk ... #orthopedics #clinical ... #video

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Abnormal Simmonds-Thompson Test (Positive) for Achilles Tendon Rupture

In this positive Simmonds-Thompson test, there is no plantar

Tendon #Rupture #Clinical ... #Video #PhysicalExam ... #Calf #Sports #msk

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Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint

#Injury #Tear #clinical ... #video #physicalexam ... #msk #orthopedics

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Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &

Undifferentiated Shock ... OnePager Summary Shock ... undifferentiated shock ... Shock can be broken ... Obstruction (HOCM, critical

Shock Overview ... of hypotension Shock ... death Common Clinical ... Distributive Shock ... ) Cardiogenic Shock

Disc Herniations - Pathogenesis and Complications
• 90% of Lumbar disc herniations happen at L4/5 and L5/S1
•

dehydration) decr shock-absorbing ... complications #msk

Anterior Interosseous Peripheral Nerve Injury

Manifested as the inability to make the OK sign.

by Dr. Boby

#Sign #OKSign #clinical ... #video #neurology ... #physicalexam #msk

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Reduction of Anterior Shoulder Dislocation

This young man presented to the ER with a Shoulder Dislocation. He

Dislocation #Anterior #clinical ... #video #procedure ... #physicalexam #msk

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Clinical features of shock from dehydration in an infant

Decreased level of consciousness
Sunken fontanelle
Dry mucous

Clinical features ... of shock from dehydration ... Signs #Symptoms #Shock

Crank Test for Labral Tear of the Shoulder

To perform the Crank Test, fully abduct the shoulder

Video via @open_michigan ... #PhysicalExam #clinical ... #video #sports ... #msk #orthopedics

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Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.

Patient is in shock ... exam shows the shock ... BrokenHeart #Syndrome #Clinical

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American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in

American College of Critical ... to next step if shock ... Subsequent ICU goals—if shock ... #Shock #Algorithm

Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed

Video via @open_michigan ... #PhysicalExam #clinical ... #video #sports ... #msk #orthopedics

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Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:

Management 1) Ask ... #criticalcare #Shock

External Snapping Hip Syndrome - Coxa Saltans

External snapping hip or coxa saltans: sliding of the iliotibial

Syndrome #Iliotibial #clinical ... #video #physicalexam ... #msk #orthopedics

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Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the

sciatica #lumbar #clinical ... #video #physicalexam ... #msk #sports #orthopedics

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Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic

Injury #ACLTear #clinical ... #video #PhysicalExam ... Sports #Ortho #msk

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Positive Lachman test in ACL Injury

Here is an exam of a patient under anesthesia with an

Positive #ACLTear #clinical ... #video #PhysicalExam ... cruciate #ligament #msk

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Effect of PEEP on Lung Recruitment - Bag-Mask Ventilation - Cadaver Simulation
Simulation shows before and after

Recruitment - Bag-Mask ... Original video by ... Cadaver #Simulation #clinical ... #video #Pulmonary

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Lachman test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic

Injury #ACLTear #clinical ... #video #PhysicalExam ... cruciate #ligament #msk

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$5th metatarsal distal shaft fracture - Fracture detection on MSK ultrasound The Ultrasound Site - MSK ultrasound$

Fracture detection on MSK ... Ultrasound Site - MSK ... shaft #fracture #MSK ... POCUS #Ultrasound #Clinical

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Posteromedial Instability on Knee Exam
This is what a knee with posteromedial instability looks like. Notice the

PhysicalExam #Injury #MSK ... #clinical #video

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Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct

#PhysicalExam #clinical ... #video #sports ... #msk #orthopedics

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Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the

cruciate #ligament #clinical ... #video #physicalexam ... #sports #msk #orthopedics

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Clinical Management for Three Common Causes of Shock
HEMORRHAGIC SHOCK
• Ensure adequate ventilation and oxygenation.

Clinical Management ... Common Causes of Shock ... HEMORRHAGIC SHOCK ... CARDIOGENIC SHOCK ... SEPTIC SHOCK •

Winged Scapula on Physical Exam

Common things being common just standard scapular winging, but this is more

#PhysicalExam #clinical ... #video #sports ... #orthopedics #msk

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Shoulder Dislocation #Clinical ... Diagnosis #POCUS #MSK

Varus Stress Test for LCL Injury on Knee Physical Exam

The knee is examined in extension and

#PhysicalExam #clinical ... #video #sports ... #msk #orthopedics

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Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then

sciatica #lumbar #clinical ... #video #physicalexam ... #msk #sports #orthopedics

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Spurling's Test for Cervical Nerve Root Compression

With the neck in slight extension, ipsilateral flexion and rotation,

Radiculopathy #clinical ... #video #physicalexam ... #msk #orthopedics

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Normal Simmonds-Thompson Test (Negative) for Achilles Tendon Rupture

In this normal Simmonds-Thompson test, plantar flexion of the

Tendon #Rupture #Clinical ... #Video #PhysicalExam ... #Calf #Sports #msk

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Medial Approach Knee Intra-articular Corticosteroid Injection

Landmark 1/3 to 1/2 way from top of patella. Find

Corticosteroid #Injection #clinical ... #video #physicalexam ... #procedure #msk

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Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient

Piriformis #Syndrome #clinical ... #video #physicalexam ... lumbar #sciatica #msk

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Complete PCL Tear on Physical Exam - Posterior Drawer Test

This is what a complete PCL year

#Drawer #Test #clinical ... #video #orthopedics ... #msk #sports

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Pelvis #Comparison #clinical ... #radiology #msk

SHoC-ED - Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension?

Ann

SHoC-ED - Does Point-of-Care ... Ultrasonography Improve Clinical ... Ultrasound #Emergency #Shock

Stenosing Flexor Tenosynovitis or Trigger Finger on Physical Exam

Dr. Sergi Barrera @dr.sergibarrera

#TriggerFinger #Trigger #Finger #Stenosing #flexor

tenosynovitis #msk ... #clinical #physicalexam

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Myocarditis
Diagnosis
• Endomyocardial biopsy (gold standard, rarely performed)
• Clinical presentation
• Cardiovascular MRI
Clinical
•

performed) • Clinical ... Cardiovascular MRI Clinical ... • Cardiogenic shock

Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
•

with cardiogenic shock ... or hypovolemic shock ... correlate in the SHOCK ... with cardiogenic shock ... Ahmed Ghoneem, MD MSc

Knee Ligaments - Biomechanics Model - Flexion and Extension

@AnatomyStandard

#Knee #Ligaments #Model #3D #clinical #video #orthopedics #msk

Ligaments #Model #3D #clinical ... #video #orthopedics ... #msk #ACL

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RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber

Ultrasound in Shock ... DVT depending on clinical ... diagnosis #ultrasound #shock

Ataxic gait (Spino-cerebellar ataxia)

#Ataxic #gait disorders occur due to dysfunction of the #cerebellum, the part of

cerebellar type (MSA-C ... #clinical #video

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SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing

of Cardiogenic Shock ... patient who has clinical ... #Cardiogenic #Shock

Acute Purpura Fulminans Skin Rash on Physical Exam
60 year old male ITP s/p splenectomy
1d

in multipressor shock ... fulminans) and critical ... Final dx: Septic shock ... Fulminans #Skin #Rash #clinical

Clinical Manifestations of Serotonin Syndrome
• Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
• Gastrointestinal: Diarrhea,

Clinical Manifestations ... , Late stages (shock ... ) Spectrum of Clinical

This is what a shoulder dislocation looks like on US before and after reduction. Focus on

Ghali @EM_RESUS #Clinical ... #POCUS #MSK #Shoulder

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Hypermobility of Interphalangeal Joints in Ehlers-Danlos Syndrome (EDS)

#Hypermobility #Interphalangeal #fingers #Joints #Ehlers #Danlos #Syndrome #EDS #clinical

Syndrome #EDS #clinical ... #video #msk

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$Segond Fracture - Avulsion fracture of the proximal tibia below the articular surface. - Associated with anterior$

Radiology #KneeXRay #Clinical ... #MSK

Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”. 55 year old

in Cardiogenic shock ... Patient was in shock ... Angiogram #CathLab #clinical

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XRay #Anatomy #clinical ... radiology #labeled #msk

Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of

#PhysicalExam #clinical ... #video #orthopedics ... #msk #sports #neurology

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Fibula Giant Cell Tumor - Ankle X-Ray
Expansile lytic lesion in the epiphysis of the fibula

#Ankle #XRay #clinical ... #radiology #msk

Metabolic Acidosis with Anion Gap - KILU Mnemonic

K - Ketoacidosis
• DKA
- With normal glucose, ask if

normal glucose, ask ... hypoxia (e.g. shock

Right Oculomotor (CNIII) Palsy caused by Stroke

Dr. Bruno Farnetano @bruno.farnetano

#Oculomotor #CNIII #Palsy #clinical #video #CN3 #clinical

#CNIII #Palsy #clinical ... #video #CN3 #clinical ... #video #neurology

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Paradoxical Breathing in Flail Chest

Video via Dr. Carlos Romero

#Flail #Chest #Paradoxical #Breathing #Pulmonary #Respiratory #clinical #video

Flail Chest Video ... #Respiratory #clinical ... #video #trauma

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Finger Wound Healing - Time Lapse Video

33 day time lapse.

#Wound #Healing #TimeLapse #Video #Finger #clinical #video

Healing - Time Lapse Video ... Healing #TimeLapse #Video ... #Finger #clinical ... #video

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Stress Fracture: Pathogenesis and clinical findings
Abnormal biomechanics, Repetitive impact activities
=> Repetitive subthreshold mechanical loading
=> Bone strain
=>

Pathogenesis and clinical ... StressFractures #msk

DIY Respirator

Innovative technique to create a cheap, reusable, elastomeric respirator for use during critical N95 supply

for use during critical ... using only a face mask ... brie_slatnick Video

Apley Compression Test on Knee Examination

With the patient prone, the knee being tested is flexed to

#PhysicalExam #clinical ... #video #orthopedics ... #msk #sports

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Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

• Bova score

on scores and clinical ... Transient Hypotension, Shock

Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung

in vitals and shock ... Echocardiogram #A4c #clinical

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Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:

of lactate as a clinical ... undifferentiated shock ... is in impending shock ... a multitude of clinical ... the appropriate clinical

disease #phenomenon #clinical ... #video #physicalexam

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stenosis #timelapse #clinical ... #video #peristalsis

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HINTS Exam - Bidirectional Nystagmus

In a patient with vertigo symptoms, this finding is worrisome for

Video by Dr. ... #PhysicalExam #Clinical ... #Video #Positive

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