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OLS

@olofl-s.bsky.social
98 followers 79 following 112 posts

#medsky #pocus #emimcc

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OLS @olofl-s.bsky.social · 30/09/2026
A man in his 40s develops low abdo pain since this morning. Seeks the ED in the afternoon. No fever. Leukocytes and CRP unremarkable but tender in the right lower quadrant. #POCUS shows appendicitis. Came back the next morning pain-free. No surgery needed. #EMIMCC
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OLS @olofl-s.bsky.social · 24/09/2026
A 5 y old kid comes in with pain in the middle of his/her sternum. Started while he/she was jumping on his/her trampoline and fell. #POCUS shows a classic double line sign in the middle of the sternum, indicative of a sternal fracture. Only 2 mm of dislocation, no X-ray needed. #EMIMCC
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OLS @olofl-s.bsky.social · 03/09/2026
A man in his 70s seeks the ED for pain in his right thigh a week after undergoing coronary angiography. Hemoglobin has gone from 140 to 115. Distal exam is fine. #POCUS shows suspected pseudoanerysm with bleeding in the aneurysm. CT angiography confirms. Vascular surgery successful. #EMIMCC
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OLS @olofl-s.bsky.social · 31/08/2026
A man in his 50s seeks the ED after a fall on his back from a ladder. Was initially ok but a day later excruciating pain in his right side. #POCUS shows a single rib fx but no pneumothorax and just minimal effusion. Sent home on painkillers. #EMIMCC
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OLS @olofl-s.bsky.social · 21/08/2026
A woman in her 50 s seeks the ED for recurrent epigastric pain starting a week ago. No fever but chills. Episodes lasts 6-8 hours. #POCUS shows an obstructive gallstone with evidence of cholecystitis. #EMIMCC
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OLS @olofl-s.bsky.social · 06/08/2026
Man in his 70s seeks the ED for low abdo pain. Has a lymfoma in the abdomen, last CT 3 days ago showed no bowel obstruction. On prednisone to reduce swelling. No vomiting. #POCUS shows dilated small bowels with free fluid. CT confirms SBO secondary to obstructive tumour. #EMIMCC
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OLS @olofl-s.bsky.social · 30/07/2026
A woman in her 70s seeks the ED for CP starting 10 days ago, worsening today. ECG with new LBBB. Normal echo just 18 months ago. Troponin 20. #POCUS shows a dilated left ventricle, EF 20%. Also bilateral pleural effusions. Clean cath. Sometimes things just happen quickly I guess 🤷‍♂️ #EMIMCC
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Ken Milne MD @thesgem.bsky.social · 29/07/2026
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OLS @olofl-s.bsky.social · 26/06/2026
A female in her 20s seeks the ED because of right lower abdo pain staring 10 days ago. 4 weeks since her last period. No birth control. Hemoglobin of 115. #POCUS shows a corpus luteal cyst and some free fluid. Diagnosis: Hemorrhagic corpus luteum with rupture. Patient did fine. #EMIMCC
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OLS @olofl-s.bsky.social · 26/05/2026
A man in his 40s seeks the ED because of 3 days of left sided flank pain and nocturia. 3 weeks ago he had an operation for a benign tumor which was compressing the left ureter. Has a ureteral stent. #POCUS shows hydronephrosis. CT unfortunately with a perforated stent, see below 👇 #EMIMCC
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OLS @olofl-s.bsky.social · 17/05/2026
Another day, another massive SBO. Elderly woman with mets in the abdomen. Pain masked by chronic steroid use. Liters of vomit in the nasogastric tube. Poor soul. #POCUS #EMIMCC
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OLS @olofl-s.bsky.social · 12/05/2026
Gotta love the accidental finding of a non-ruptured aortic aneurysm in a patient with Myelodysplastic Syndrome #POCUS #EMIMCC
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OLS @olofl-s.bsky.social · 11/05/2026
Another day, another uncomplicated repeat episode of diverticulits. CRP in the 60s. CT confirmation not necessary. #EMIMCC #POCUS
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OLS @olofl-s.bsky.social · 30/04/2026
1) A man in his 70s seeks the ED for CP starting 45 min ago after a brisk walk. Ambulance ECG 25 min earlier shows lateral changes that are unfortunately missed (shown below). Ongoing CP. #EMIMCC
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OLS @olofl-s.bsky.social · 23/04/2026
Woman in her 80s seeks the ED for a swollen calf since 3 weeks and now exertional dyspnea. Not a hard diagnosis. #POCUS shows a large right ventricle and D-sign in the basal septum (which is why it’s only in one of the recorded beats here). Also, of course, a DVT. #EMIMCC
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OLS @olofl-s.bsky.social · 17/04/2026
50y old man, level 1 trauma. Fell 3 m off a ladder, BP 85/55. CAB is stable. FAST exam shows free fluid, crit care doc screams ”blood in the belly!”. Fluid looks odd, CT non-confirmatory. During op management, feces everywhere. Turns out it was an anal insertion causing perforation. 🤷‍♂️ #EMIMCC #POCUS
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OLS @olofl-s.bsky.social · 14/04/2026
A 40y woman came to a sudden stop on her bicycle and felt a sudden pain in her calf. Thompson test negative. #POCUS shows irregularities consistent with a partially torn achilles tendon. Ortho at my place wants to treat it like a full tear. Seems excessive. How is management at your place? #EMIMCC
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OLS @olofl-s.bsky.social · 01/04/2026
A woman in her 60s seeks the ED for CP starting 2 h ago. ECG concerning for ST elevation in anterior leads. #POCUS shows hypokinesis septally. Gets transferred for urgent cath which shows a 100% LAD stenosis. Succesfully stented. Repeat echo normal. #EMIMCC
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Per Köhler @perkohler.bsky.social · 31/03/2026
Ingen vet vad ett beredskapssjukhus är men alla nedläggningshotade småsjukhus vet att just de är unikt lämpade att bli ett. lakartidningen.se/nyheter/har-...
lakartidningen.se
Här vill man räcka upp handen för beredskaps­sjukhus
»Vi känner att Lycksele är ypperligt lämplig kandidat«, säger Nicklas Sandström (M), förste vice ordförande i Västerbottens regionstyrelse.
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OLS @olofl-s.bsky.social · 26/03/2026
A woman in her 90s seeks the ED because of jauneice. It came from nowhere a week ago and she is feeling fine otherwise. #POCUS shows a severly dilated common bile duct. CT without malignancy but a 4 cm obstructive duodenal diverticulum. This is (apparently) Lemmels syndrome. #EMIMCC
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OLS @olofl-s.bsky.social · 05/03/2026
A woman in her 60s seeks the ED for 10/10 CP that lasted an hour. Now 1/10. Vitals, ECG unremarkable. #POCUS shows a dissection flap in the abdominal aorta. No pericardial effusion. CT confirms dissection from aortic valve to the iliac artery. Surgery successful, full recovery. #EMIMCC
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Åsa Plesner @asa.tsbalans.se · 02/03/2026
Att leva i allvarlig materiell och social fattigdom är att svara nej på minst sju av nedanstående punkter. Vardagen är rätt kämpig då. Att antalet personer som har det så här har tredubblats på bara några år är, eller borde vara, en megagrej
13 frågor som används för att mäta materiell nivå. Ex är att ha råd med en veckas semester, tillgång till bil, att delta i en fritidsaktivitet och att fika på stan minst en gång i månaden, kunna betala räkningar i tid och hålla bostaden tillräckligt varm.
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OLS @olofl-s.bsky.social · 24/02/2026
A man seeks the ED because of CP and dyspnea. Low sats, slightly tachycardic. He suddenly gets worse. #POCUS shows a clot in transit. Before Alteplase is given he goes into cardiac arrest. Luckily he only needs a couple of minutes of CPR after Alteplase is given. Full recovery. #EMIMCC
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OLS @olofl-s.bsky.social · 13/02/2026
There is nothing magical about formal ultrasounds for appendicitis. We EM docs can do it too! 32 y old male with a classic history, CRP 94. #POCUS shows an appendicolith and an inflamed appendix. Surgeon moves up the operation because of risk of perforation. #EMIMCC
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OLS @olofl-s.bsky.social · 16/01/2026
A woman in her 90s with known rectal ca seeks the ED for general malaise. She was put on Bactrim for a UTI 2 days ago. Creatinine 125, CRP 120. #POCUS shows hydronephrosis of the left kidney. CT confirms a large metastasis, compressing her urether. Nephrostomy needed. #EMIMCC
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OLS @olofl-s.bsky.social · 07/01/2026
Woman in her 30s seeks the ED for pain in the epigastric region. Her abdo exam shows RUQ pain that combined with an elevated ALT increases suspicion of presence of gallstones. Bilirubin 17. #POCUS shows a dilated common bile duct and a stone. Admitted and operated on the following day. #EMIMCC
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OLS @olofl-s.bsky.social · 16/12/2025
A man in his 50s seeks the ED for the 3rd time this month. His visits before was diagnosed as a viral infection. Now he has fainted, has CP, is SOB and has a sat of 88% on room air. Not a hard diagnosis, but #POCUS clinches it. (And yes; he had right heart strain as well) #EMIMCC
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Andreas Thörneby @thorneby.bsky.social · 09/11/2025
När DN begärde ut offentliga handlingar av Regeringskansliet kom de, utskrivna på papper, efter 30-46 dagar. När fiktive ”Simon” gjorde motsvarande levererades de, digitalt, efter två. www.dn.se/ledare/peter...
dn.se
Peter Wolodarski: Så motarbetade regeringen DN:s granskning – tills Simon började ställa frågor
Ständiga förhalningar blev den journalistiska vardagen när Sveriges nationella säkerhetsrådgivare granskades. Tills en oväntad person ställde frågorna.
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escapedexplorer.bsky.social @escapedexplorer.bsky.social · 07/11/2025
"World's first potential trillionaire has killed 600,000 people, including 400,000 children" is the only headline that anyone should ever read about Elon Musk
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OLS @olofl-s.bsky.social · 06/11/2025
A prev healthy man in his 50s arrives by EMS with a GCS of 9. It started an hour ago with him screaming ”I can’t breathe” and then having a seizure. He flails with only his left arm on the stretcher. Looks sick so he gets an artline quickly - 95/55. #POCUS gets the diagnosis. Scary stuff. #EMIMCC
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Dr Dan Shugar 🇨🇦 @watershedlab.bsky.social · 01/11/2025
Who did this?!
A joke scientific paper with the title "Over 90% of children diagnosed with autism consumed breast milk and/or formula mileL a comprehensive cross-sectional analysis of the obvious"
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OLS @olofl-s.bsky.social · 24/10/2025
Man in his 70s with CP starting 2 h ago. Similar, shorter duration yesterday. Now almost painfree. ECG read as normal by first physician 🤯. #POCUS with apikal hypo/akinesis. Sent to PCI 90 min away. CP again with ST-elevation so emergent cath. LAD stented. #EMIMCC
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Andreas Thörneby @thorneby.bsky.social · 16/10/2025
Jag saknar förritin, när folk hade skam nog att smussla med korruptionen åtminstone www.dn.se/sverige/avsl...
dn.se
Avslöjar: Friskola arrangerar evenemang – i statsministerns hem
Friskolan i Strängnäs, Europaskolan, arrangerar en exklusiv middag. Gästerna välkomnas till Sagerska huset – statsministerns officiella…
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OLS @olofl-s.bsky.social · 16/10/2025
A man in his 80s visits the ED because of epigastrialgia. The resident sends him home with a diagnosis of gastritis (even though CRP was 30). Comes back 2 days later, CRP now 250. Diagnosis was not hard at that point. #POCUS #EMIMCC
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OLS @olofl-s.bsky.social · 09/10/2025
A man in his 50s seeks the ED for the umpteenth time since his abdo pain started a few years ago. He says that it’s his gallbladder, surgery has been denied because of diffuse pain and normal blood tests. Today CRP 9, Leukocytes 11. #POCUS He got his operation the next day. #EMIMCC
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OLS @olofl-s.bsky.social · 02/10/2025
A man in his 60s seeks the ED for chest pain starting a couple of hours before. ECG with lateral ST depression (almost painfree at this point). After #POCUS images the interventionalist agreed to take him. 100% LCX occlusion. Patient wins. #EMIMCC
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OLS @olofl-s.bsky.social · 12/09/2025
A man in his early 30s, previously healthy, seeks the ED because of abdo pain, bloatedness and loose stools since 4 days. Not the first person I’d send to the CT scanner but #POCUS did not lie. CT showed SBO due to obstruction. Final diagnosis unclear right now. #EMIMCC
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Jake Scott, MD @jakescottmd.bsky.social · 04/09/2025
Florida eliminated all school vaccine mandates that protected kids for decades-including for measles & polio. Exemptions were already climbing, and without mandates, herd immunity collapses. Outbreaks of diseases we nearly eradicated are inevitable & entirely preventable. www.cnn.com/2025/09/03/h...
cnn.com
Florida plans to end vaccine mandates statewide | CNN
Florida will move to end all vaccine mandates in the state, Florida Surgeon General Dr. Joseph Ladapo announced Wednesday.
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OLS @olofl-s.bsky.social · 25/08/2025
A woman in her 60s seeks medical attention because of 2 days of vomiting following an increase in GLP-1 dosing. Vitals and labs unremarkable. Ultrasound shown below with dilated small bowels and free fluid. CT confirms SBO. Surgery needed. #EMIMCC #POCUSky
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Lars Henning @larshenningmd.bsky.social · 21/08/2025
"en systematisk avprofessionalisering av experten och det hot mot demokratin som så kallad strategisk kommunikation utgör". Resurser vid universiteten används allt mer för marknadsföring. Vilket leder till bedrövliga fall av desinformation som nedan som lyfts av Amina fof.se/artikel/fort...
fof.se
”Fortsatt epidemisk ökning av kommunikatörer vid universiteten” | Forskning & Framsteg
Sedan början av seklet har antalet kommunikatörer och informatörer vid svenska lärosäten mer än fyrdubblats (från 225 år 2001 till 987 år 2023). Ingen annan …
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OLS @olofl-s.bsky.social · 17/07/2025
Man in his 60s seeking ED for exertional dyspnea. Vitals unremarkable except HR 120. On Apixaban for earlier PE. Swears that he takes them. Leukocytes 13, CRP 104. Probe on #pocusky Still swears that he takes his Apixaban. Only after CT shows bilateral large PEs did he confess… #emimcc
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OLS @olofl-s.bsky.social · 15/07/2025
One of those cases. Seeking ED for nausea since this morning. Started on prednisolone a week ago in primary care because of ”post-infectious dyspnea”. Labs unremarkable. Tachycardia as only finding. Probe on. #pocusky Final diagnosis: Takutsubo cardiomyopathy #emimcc #medsky
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OLS @olofl-s.bsky.social · 01/07/2025
När jag började med ultraljud trodde jag inte att ett av de mest användbara områdena skulle vara ileusbedömning. Finns dessutom välstuderat. pubmed.ncbi.nlm.nih.gov/28797559/ Thanks @thesgem.bsky.social for the reference above #pocus
pubmed.ncbi.nlm.nih.gov
Utilization of ultrasound for the evaluation of small bowel obstruction: A systematic review and meta-analysis - PubMed
The existing literature suggests that ultrasound is a valuable tool in the diagnosis of SBO with a sensitivity and specificity comparable to that of CT. Ultrasound may save time and radiation exposure...
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Andreas Thörneby @thorneby.bsky.social · 29/06/2025
”Vi ber om ursäkt för att vi kunde uppfattas som X” innebär inget ansvarstagande för X. Det är ett skuldbeläggande av dem man riktar sig till. En oärlig ursäkt är sämre än ingen ursäkt alls. Sopor.
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The New York Times @nytimes.com · 28/06/2025
More than 100,000 people marched in Hungary’s annual Pride parade in Budapest on Saturday after Prime Minister Viktor Orban’s ban on the event backfired, turning what is usually a low-key parade into a mass rally against his government. www.nytimes.com/2025/06/28/w...
A bridge is packed with people, with scattered pride flags in the crowd. A headline reads: "Budapest Pride Parade Was Bigger Than Ever, Despite Government Ban." Photo by Janos Kummer/Getty Images.
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Atul Gawande @agawande.bsky.social · 25/06/2025
This is a travesty & a nightmare. The US was a founder of @gavi.org. It lowers global vaccine costs, has vaccinated 1B children, & averted 19M deaths. This pull out will cost 100s of thousands of children's lives a year - and RFK Jr will be personally responsible. www.politico.com/news/2025/06...
politico.com
RFK Jr. says US won’t donate to global vaccine effort
Kennedy ripped into Gavi, the Vaccine Alliance, in a video address at its pledging summit.
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Andreas Thörneby @thorneby.bsky.social · 22/06/2025
Sverker Sörlin ställer viktiga frågor till Benjamin Dousa. Jag hoppas han har civilkurage nog att svara. www.dn.se/kultur/baste...
dn.se
Kulturdebatt. Bäste Benjamin Dousa, vem har slängt dig under bussen?
Sverker Sörlin frågar i ett öppet brev varför Sveriges biståndsminister har stoppat hjälpen till det svältande och sönderbombade Gaza.
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Ken Milne MD @thesgem.bsky.social · 21/06/2025
Measles 'out of control,' experts warn, as Alberta case counts surpass 1,000 flip.it/uUjk7H
flip.it
Measles 'out of control,' experts warn, as Alberta case counts surpass 1,000 | CBC News
Alberta's measles outbreaks have now eclipsed the 1,000 case milestone and infectious diseases specialists are warning the virus is likely "impossible to contain," given the current level of transmiss...
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OLS @olofl-s.bsky.social · 21/06/2025
www.svt.se/sport/friidr... #sportswashing
svt.se
Friidrott: Chocken: Ståhls rival byter land – OS-mästaren går till Turkiet
Krismöte på Jamaica
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OLS @olofl-s.bsky.social · 18/06/2025
www.svt.se/nyheter/inri...
svt.se
Sveriges klimatutsläpp ökar rejält
Utsläppen av växthusgaser i Sverige ökade med 7 procent 2024 jämfört med året innan, visar preliminär statistik från Naturvårdsverket. Det är den största ökningen sedan 2010.
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