6012 results
Sternal fracture on POCUS. 

It’s super easy! Place linear probe in long axis over point of
Sternal fracture ... than CXR & can diagnose ... lmccaff120 #Sternal ... #Sternum #Fracture
Jugular Venous Pressure Measurement
Examiner places the patient in a reclined position and puts the base of
the ruler at the sternal ... 3cm above the sternal ... #Diagnosis #PhysicalExam
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur
 • Occurs during systole 
 • Crescendo-decrescendo murmur
 • Heard best
best left lower sternal ... Cardiac #Cardiology #Diagnosis
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
dullness, left lower sternal ... LikelihoodRatios #LRs #diagnosis
Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam

Firm pressure with the
space at the left sternal ... #PhysicalExam #diagnosis
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
- Differential Diagnosis ... insufficiency, Subclavian steal ... pseudosyncope SCVMC Internal ... #Differential #Diagnosis
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential Diagnosis ... wasting By Rachel Stern ... #Differential #Diagnosis
Syncope - Cerebral hypoperfusion leading to transient lsos of consciousness causing alck of postural tone with
Differential Diagnosis ... Seizure, subclavian steal ... #differential #diagnosis
Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs
like subclavian steal ... #differential #diagnosis
Croup Diagnosis and Management Pearls
Common childhood illness, usually viral and self limiting. Characterised by a seal-like
Croup Diagnosis ... obstruction, fatigue, sternal ... PeterboroughEM #Croup #Diagnosis