10 results
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... on Chest X-Ray Anterior ... hemidiaphragm and the liver ... #Chest #XRay #CXR ... #clinical #radiology
Pneumoperitoneum vs Pseudo-Pneumoperitoneum aka Chilaiditi Sign
It mimics pneumoperitoneum and it is thus important to diagnose it
aka Chilaiditi Sign ... colon) between the liver ... PseudoPneumoperitoneum #Chilaiditi #Sign ... #clinical #radiology ... #cxr #xray #chest
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... Findings: • ↑AST ... AP, ↑INR, ↑BUN/Cr ... infiltration) Differential ... Maternal Support - Critical
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Mediterranean Fever ... Positive Carnett's sign ... symptoms • Hernias - Past ... incisional hernias: clinical ... #Pain #differential
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Dermatomyositis Clinical ... Muscle swelling - Fever ... Tachycardia - N/V - Abdominal ... ) • AKI: BUN/Cr
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism Overview Clinical ... arrhythmia - Fever ... fibrillation/flutter • Abdominal ... causes #diagnosis #differential ... endocrinology #signs
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... purpura: Strong sign ... multiplex • GI tract: Abdominal ... gut involvement, abdominal ... Multiplex, Elevated AST
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
re-exams (normal CXR ... injuries to spleen, liver ... exams, FASTs and ... pattern on your differential ... Trauma #Injury #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 ... (CXR), try rotating ... not seen on a CXR ... consider intra-abdominal