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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PA view
On the PA chest-film it is important to examine all the areas where the lung
areas where the lung ... the silhouette sign ... hemorrhage due to a fracture ... #Clinical #Anatomy ... #Radiology #CXR
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
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
Lung pulse shown ... 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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Sternal fracture on POCUS. 

It’s super easy! Place linear probe in long axis over point of
Sternal fracture ... linear probe in long ... much higher than CXR ... Xray read as normal ... #Clinical #POCUS
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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
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
US beats CXR on ... Most CXR are wasted ... , orient in line ... on long axis with ... POCUS #clinical
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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
COVID-19 - Subpleural Consolidations on Lung POCUS

Doing daily POCUS LUS for ICU COVID-19 patients in Singapore
Consolidations on Lung ... and density of B lines ... Helps with management ... valuable PPEs, reduce CXRs ... Consolidations #COVID19 #clinical
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