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Important sign π
The champagne sign or "effervescent gallbladder" is specific ultrasound finding in acuteΒ Β emphysematous cholecystitis appears as tiny, echogenic bubbles (gas) rising from the dependent part of the gallbladder, mimicking bubbles in a champagne glass.
#Radiologymodules
+1
Name the modality :
Abdominal ultrasound
Name the sign :
The target sign (or donut/bull's eye sign
Diagnosis:
intussusception
#Radiologymodule
For ankle trauma, the 5 bony points that should always be palpated are
1-Medial malleolus
2-Lateral malleolus
3-Navicular
4-5th metatarsal base
5-Talus
Indications for Craniotomy in Epidural Hematoma (EDH)
Clinical indication
1-GCS deterioration
2-Focal neurological deficit
3-Anisocoria (blown pupil)
4-Signs of brain herniation
CT Criteria
Volume >30 mL
Thickness >15 mm
Midline shift >5 mm
Medical causes - Referred Shoulder Pain: 1. Cervical radiculopathy 2. Cervical spondylosis 3. Myofascial pain syndrome 4. Angina pectoris 5. Myocardial infarction 6. Pericarditis 7. Pneumonia 8. Pleurisy 9. Pulmonary embolism 10. Pancoast tumor 11. Cholecystitis 12. Cholelithiasis 13. Hepatitis 14. Liver abscess 15. Peptic ulcer disease 16. Pancreatitis 17. Splenic rupture 18. Diaphragmatitis 19. Phrenic neuritis Surgical causes - Referred Shoulder Pain: 1. Laparoscopic cholecystectomy 2. Laparotomy 3. Thoracotomy 4. Coronary artery bypass grafting 5. Splenectomy 6. Hepatectomy 7. Esophagectomy 8. Phrenic nerve injury during surgery
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Acute limb ischemia* = sudden loss of blood flow to an arm or leg. It's a vascular emergency because tissue can die within hours. the *6 Ps: 1- Pain: Sudden, severe pain out of proportion to exam. Usually in the affected limb, often starts distally and moves up 2- Pallor: Skin looks pale, waxy, or mottled. Capillary refill is delayed 3- Pulselessness: No arterial pulses on Doppler. This is the key sign that separates it from other causes of pain 4- Paresthesia: Numbness, tingling, "pins and needles". Means nerves are getting ischemic 5- Paralysis: Weakness progressing to inability to move toes/fingers. Late and very concerning sign 6-Poikilothermia: Limb feels cold to touch compared to the other side.
