Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Supracondylar Elbow Fracture
β€’ Most common elbow fracture in children, peak age 5-7 
β€’ When looking at
anterior sail sign ... can't make A-OK sign ... syndrome β€’ ED Management ... Splint: Posterior long ... #Orthopedics #MSK
PA view
On the PA chest-film it is important to examine all the areas where the lung
view On the PA chest-film ... areas where the lung ... the silhouette sign ... hemorrhage due to a fracture ... #Clinical #Anatomy
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
fat pad (sail sign ... associated with fractures ... supracondylar fracture ... The normal radius ... peds #Pediatrics #clinical
Lung pulse shown by transducer placed on right and left anterolateral chest walls. Notice how the
anterolateral chest ... how the pleural line ... @SAlerhand #Clinical ... #POCUS #LungPulse ... Comparison #Right
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Radius Fracture on POCUS
Great example of the use of POCUS to diagnose a fracture of a
Radius Fracture ... of a long bone ... alignment in both planes ... #POCUS #clinical ... #bone #msk #orthopedics
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Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Apnea/poor effort, Signs ... Binder) β€’ Use POCUS ... ↓ BP is a late sign ... potential pelvic fracture ... Survey #CABCDE #management
TISSUE APPEARANCES ON 
MUSCULOSKELETAL ULTRASOUND 

Bone:
 
Bone is represented as a very bright structure and appears
Tendon: Normal ... MUSCULOSKELETAL #MSK ... #POCUS #Atlas # ... Clinical #Radiology ... #Comparison
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest ... X-ray and lung ... (exclude other lung ... monitoring (vital signs ... MyastheniaGravis #Checklist #Management
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
blood flow in the chest ... precede other signs ... lung US pattern ... #criticalcare #comparison ... #challenges #management
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
validation beyond a clinical ... , orient in line ... on long axis with ... course based on chest ... POCUS #clinical
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