7 results
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
RUQ FAST Exam ... Bike vs Car. ... for sonographic signs ... #Abdominal #POCUS ... clinical #ultrasound #Liver
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Mediterranean Fever ... knee-to-chest position ... Carnett's sign ... symptoms • Hernias - Past ... #Pain #differential
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... Petechiae or positive ... and no apparent focus ... the following signs ... Intense abdominal
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Muscle swelling - Fever ... Tachycardia - N/V - Abdominal ... ) • AKI: BUN/Cr ... Myoglobinuria: UA positive
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 ... Severe abdominal ... injuries to spleen, liver ... exams, FASTs and ... pattern on your differential
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Vital signs: BP ... (CXR), try rotating ... not seen on a CXR ... consider intra-abdominal