Share this page!

Enter Twitter Thread URL to Unroll

Needs to be the full URL like: https://twitter.com/threadreaderapp/status/1644127596119195649

How to get URL link on Twitter App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
drshukla14 Profile picture
@DrShukla14
May 26 • 6 tweets • 3 min read Twitter logo Read on Twitter
1/n: Thread of interesting ED #POCUS case. F/70+, known epigastric hernia (relapsed post repair years ago). Repeated vomiting since 1 week. Labs and plain x-rays - ImageImage
2/n Distended stomach noted on #POCUS -
3/n Clinically the hernia appeared to be reducible. However, #POCUS demonstrated obstruction of gastric outflow due to incarcerated portion of gastric antrum.
4/n Discussed with surgical colleagues who requested CT imaging - CT confirmed the clinical and #POCUS suspicion of gastric antrum herniation causing gastric outlet obstruction Image
5/5 Patient admitted by surgical team for further management. Gastric antrum herniation causing gastric outlet obstruction syndrome is uncommon but reported entity - eg. doi.org/10.1016/j.gass…
@threadreaderapp unroll please

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with drshukla14

drshukla14 Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @DrShukla14

drshukla14 Profile picture
Mar 11
1/n #POCUS Acute right scrotal pain. Performed awaiting scrotal exploration. "Saddle view" from inferior poles to assess gross difference between echotexture
2/n The normal (Left) testis - shows normal internal septal architecture with pulsatile blood flow on color power doppler, with normal overlying skin thickness.
3/n Right testis is swollen, disturbed architecture with heterogenous echoes due to edema and absent flow on CPD
Read 7 tweets
drshukla14 Profile picture
Nov 19, 2022
#POCUS case 1/n - Chest pain since 2 hours. Is it posterior STEMI ?
2/n #POCUS Apical Long Axis (A3C)
3/n Admitted to cardiology and PCI to LCX done.
Read 5 tweets
drshukla14 Profile picture
Apr 21, 2022
1/4 #POCUS EM case: M/50, anginal pain since 2 hours. ECG: lateral STEMI. Decision for fibrinolytic therapy (non-PCI site)
2/4 #POCUS appearance of lateral hypokinesia on Short Axis LV:
3/4 #POCUS appearance of lateral wall hypokinesia on Apical 4 Chamber -
Read 5 tweets
drshukla14 Profile picture
Apr 9, 2022
1/n #POCUS case - F/28. Left wrist pain since 2 weeks, severe since 48 h -> ED visit. Unable to grip due to painful thumb movements. Tender over lateral radial styloid area, Finkelstein test +. Dx: De Quervain tendinopathy.
2/n Comparison with normal - * marks fluid pockets around thickened tendons APL and EPB.
3/3 Gratifying relief after injection (levobupivacaine+triamcinolone), discharged with primary care followup.
Read 4 tweets
drshukla14 Profile picture
Mar 14, 2022
1/n #POCUS case - Pneumothorax. M/20, abrupt left pleuritic chest pain. Absent breath sound left side, hyper-resonant percussion. Absent Pleural sliding on #POCUS . No lung point found, consistent with clinical impression of large pneumothorax.
2/n Normal pleural sliding on #POCUS right anterior thorax
3/n therefore CXR was not a surprise -
Read 7 tweets
drshukla14 Profile picture
Mar 13, 2022
Thread 1/n #POCUS as a mystery solving tool. M/50, SYNCOPE. Seemed benign orthostatic, and I was upset a Head CT was done. Was expecting it normal, but surprise - reported as left parietal WATERSHED territory infarct. MRI later shows infarct better -
2/n Re-examined carefully, and indeed patient had a homonymous right inferior quadrant-anopia. But WHY does he have watershed infarct unilaterally, from what is a global hypo-perfusion event? Left carotid looks ok...
3/n left carotid doppler -
Read 6 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

Send Email!

:(