http://www.emsono.com/blogs/Online Emergency Medicine Ultrasound Educationen-USCommunityServer 2007.1 (Build: 20917.1142)http://www.emsono.com/blogs/clinical_cases/archive/2008/09/02/Case-of-the-Week-Case-91.aspxTue, 02 Sep 2008 04:01:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:392Rob0<p><font size="3">48-year-old male presents with severe upper abdominal pain that was sudden in onset.&nbsp; The patient has no PMH although he relates a history of heavy ETOH abuse.&nbsp; His vitals reveal a stable BP but the patient&#39;s heart rate is in the 130&#39;s.&nbsp; His abdominal exam reveals <img src="http://www.emsono.com/newsletter/images/Case/tn_cow_1Sep08.jpg" alt="EMsono Case of the Week. Emergency Ultrasound" align="right" border="0" height="153" hspace="12" width="211" />exquisite tenderness with guarding in the midepigastric and RUQ regions…</font></p><p><a href="http://www.emsono.com/member/cases/1sep08/player.aspx" target="_blank"><font size="3">Take the Case</font></a> <br /></p><img src="http://www.emsono.com/aggbug.aspx?PostID=392" width="1" height="1">FASTRUQIntermediateAdvancedPelvicerforated viscushttp://www.emsono.com/blogs/clinical_cases/archive/2008/08/25/Case-of-the-Week-Case-90.aspxMon, 25 Aug 2008 13:25:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:391Rob0<p><font size="3">A 54-year-old male presents with a significant UGI bleed.&nbsp; He seeks his care at an outside hospital and you have no records for him at your hospital.&nbsp; Due to his GI bleeding, you want to fluid resuscitate the patient but are concerned due <img height="153" alt="EMsono Emergency Medicine Case" hspace="13" src="http://www.emsono.com/newsletter/Images/Case/tn_COW_25Aug08.jpg" width="211" align="right" border="0" />to his CHF history.&nbsp; You perform a focused echo to assess for global LV function and note the following…</font></p> <p><font size="3"><a class="" href="http://www.emsono.com/Member/Cases/25Aug08/player.aspx" target="_blank">Take the Case</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=391" width="1" height="1">BeginnerIntermediateAdvancedCardiacCVPhttp://www.emsono.com/blogs/clinical_cases/archive/2008/08/18/Case-of-the-Week-Case-89.aspxMon, 18 Aug 2008 12:43:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:388Rob0<p><font size="3">A 28-year-old male presents with chest pain after being struck in the chest with a baseball bat injury to his chest while playing ball. His vitals are BP 110/74, HR 118, RR 26, PO 93% on RA. You perform a bedside ultrasound… <img height="140" alt="Emergency Ultrasound Case" hspace="12" src="http://www.emsono.com/newsletter/Images/Case/tn_COW_18Aug08.jpg" width="206" align="right" border="0" /></font></p> <p><font size="3"><a class="" href="http://www.emsono.com/Member/Cases/18Aug08/August%2018th,%202008%20Case%20of%20the%20Week/player.html" target="_blank">Take the Case</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=388" width="1" height="1">BeginnerIntermediatetraumalunghttp://www.emsono.com/blogs/challenge/archive/2008/08/15/August-2008-Challenge.aspxFri, 15 Aug 2008 11:32:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:387Rob0<p><font size="3">56-year-old female with metastatic breast CA presents with dyspnea and hypotension.&nbsp; You are </font><img src="http://www.emsono.com/newsletter/Images/Challenge/tn_Chall_Aug08.jpg" alt="EMsono Ultrasound Challenging Cases" align="right" border="0" height="163" hspace="12" width="206" /><font size="3"> concerned that the patient has a pericardial effusion with tamponade physiology and perform a focused echo.&nbsp; </font></p><p><a href="http://www.emsono.com/Member/Challenge/August2008/player.aspx" target="_blank"><font size="3">Take the Challenge</font></a><font size="3">&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=387" width="1" height="1">CardiacAdvancedLungPericardial EffusionPleural Effusionhttp://www.emsono.com/blogs/clinical_cases/archive/2008/08/11/Case-of-the-Week-_2D00_-Case-_2300_-88.aspxMon, 11 Aug 2008 13:52:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:386Rob0<p><font size="3">During your ED shift, a resident comes to you and asks you to look at a 1st trimester OB scan he has performed.&nbsp; He is concerned about impending fetal demise due to severe fetal bradycardia.&nbsp; The resident shows you the following </font><img src="http://www.emsono.com/newsletter/Images/Case/tn_COW_11Aug08.jpg" alt="Emergency Ultrasound Cases - EMsono" align="right" border="0" height="148" hspace="12" width="201" /><font size="3"> video and you note the following…</font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/11Aug08/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=386" width="1" height="1">PelvicBeginnerOBPregnancyPelvic USPractical Scanninghttp://www.emsono.com/blogs/clinical_cases/archive/2008/08/03/Case-of-the-Week-Case-87.aspxMon, 04 Aug 2008 01:41:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:382Rob3<p><font size="3">24-year-old female presents with vaginal spotting and cramping.&nbsp; Her quant HCG is 2241.&nbsp; She is at 10 weeks by dates.&nbsp; She is hemodynamically stable.&nbsp; You perform a focused ultrasound.&nbsp;&nbsp; The mean sac diameter was calculated <img height="137" alt="EMsono Ultrasound Education" hspace="12" src="http://www.emsono.com/newsletter/Images/Case/tn_COW_4Aug08.jpg" width="201" align="right" border="0" /><br />(28 mm)...</font></p> <p><a class="" href="http://www.emsono.com/Member/Cases/4Aug2008/player.aspx" target="_blank"><font size="3">Take the Case</font></a></p><img src="http://www.emsono.com/aggbug.aspx?PostID=382" width="1" height="1">PelvicBeginnerIntermediateOBPregnancyPelvic UShttp://www.emsono.com/blogs/clinical_cases/archive/2008/07/28/Case-of-the-Week-Case-86.aspxMon, 28 Jul 2008 20:14:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:379Rob0<p><font size="3">20-year-old male is admitted to the ED via EMS after a rollover MVC.&nbsp; The patient is hemodynamically stable.&nbsp; On exam you note that the patient has multiple torso bruises.&nbsp; After initial stabilization, you perform a FAST exam and note the following (perihepatic and perisplenic <img height="142" alt="Emergency Ultrasound Clinical Case - EMsono" hspace="12" src="http://www.emsono.com/newsletter/Images/Case/tn_cow_28jul08.jpg" width="206" align="right" border="0" />windows shown):</font></p> <p><font size="3"><a class="" href="http://www.emsono.com/Member/Cases/28Jul08/player.aspx" target="_blank">Take the Case</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=379" width="1" height="1">FASTBeginnerIntermediatetraumahttp://www.emsono.com/blogs/challenge/archive/2008/07/21/July-2008-Challenge.aspxMon, 21 Jul 2008 22:26:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:377Rob0<p><font size="3">54-year-old dialysis patient presents with left arm pain and swelling.&nbsp; His dialysis nurse sends him in </font><img src="http://www.emsono.com/Newsletter/Images/Challenge/tn_Chall_Jul08.jpg" alt="Ultrasound Case Challenging" align="right" border="0" height="149" hspace="12" width="206" /><font size="3"> because she is afraid to dialyze him from his AV graft in the left arm.&nbsp; The patient states that swelling has been present in the arm for a while but it has gotten worse recently and he is waiting to follow back up with his vascular surgeon.&nbsp;&nbsp; You perform a focused&nbsp; study of the left arm and note the following...</font></p><p><font size="3"><a href="http://www.emsono.com/Member/Challenge/Jul2008/player.aspx" target="_blank">Take the Challenge</a> &nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=377" width="1" height="1">AdvancedIntermediateVascularAV grafthttp://www.emsono.com/blogs/clinical_cases/archive/2008/07/21/Case-of-the-Week-Case-85.aspxMon, 21 Jul 2008 22:09:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:376Rob0<p><font size="3">A 52-year-old male presents with right leg pain.&nbsp; He is morbidly obese and has calf tenderness on the right.&nbsp; You perform a focused venous compression ultrasound from the groin to the knee and do not find a DVT. </font><img src="http://www.emsono.com/newsletter/images/Case/tn_cow_21jul08.jpg" alt="Emergency Ultrasound" align="right" border="0" height="225" hspace="12" width="206" /><font size="3"> You subsequently scan the area of tenderness within the calf and note the following... <br /></font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/21Jul08/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=376" width="1" height="1">BeginnerDVTVascularhttp://www.emsono.com/blogs/dxglance/archive/2008/07/17/July-2008-Diagnosis-at-a-Glance-.aspxFri, 18 Jul 2008 01:50:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:380Rob0<p><font size="3">55 yo male with intractable vomiting and upper abdominal pain.&nbsp; You perform a focused ultrasound and note the following...&nbsp; <img height="157" alt="EMsono Diagnose Ultrasound" hspace="12" src="http://www.emsono.com/newsletter/Images/Glance/tn_DX_July08.jpg" width="201" align="right" border="0" /></font></p> <p><font size="3"><a class="" href="http://www.emsono.com/Member/Glance/July08/player.aspx" target="_blank">Take the Diagnosis at a Glance</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=380" width="1" height="1">RUQAdvancedGallbladderGallstonehttp://www.emsono.com/blogs/clinical_cases/archive/2008/07/14/Case-of-the-Week-Case-84.aspxMon, 14 Jul 2008 04:01:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:375Rob0<p><font size="3">A 58-year-old male with a history of hypertension presents to the ED with abdominal pain. His vitals are BP: 105/60 Pulse: 90 <img height="163" alt="Emergency Ultrasound" hspace="13" src="http://www.emsono.com/Newsletter/Images/Case/tn_COW_14Jul08.jpg" width="201" align="right" border="0" />RR: 20 and he is afebrile. You perform a focused bedside ultrasound and note the following… </font></p> <p><font size="3"><a class="" href="http://www.emsono.com/member/cases/14Jul08/player.aspx" target="_blank">Take the Case</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=375" width="1" height="1">AortaBeginnerhttp://www.emsono.com/blogs/clinical_cases/archive/2008/07/07/-Case-of-the-Week-Case-83.aspxMon, 07 Jul 2008 04:01:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:371Rob0<p><font size="3">A 24-year-old G1P0 female presents to the ED with pelvic cramping and spotting.&nbsp; Her vitals are stable </font><img src="http://www.emsono.com/newsletter/images/Case/tn_cow_7july08.jpg" alt="EMsono July Case - Emergency Medicine Ultrasound" align="right" border="0" height="162" hspace="12" width="211" /><font size="3"> and she is afebrile.&nbsp; The&nbsp; patient states she has had some lower pelvic pain for 36 hours and has bleed less than 2 pads in the last 12 hours.&nbsp; Her quantitative hCG is 3,680.&nbsp; You perform a focused bedside ultrasound and note the following…</font></p><p><font size="3"><a href="http://www.emsono.com/member/cases/7July08/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=371" width="1" height="1">PelvicBeginnerIntermediatePregnancyPelvic UShttp://www.emsono.com/blogs/clinical_cases/archive/2008/06/30/-Case-of-the-Week-_2D00_-Case-_2300_-82.aspxMon, 30 Jun 2008 04:01:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:370Rob0<p><font size="3">46-year-old male presents with right scrotal swelling and pain.&nbsp; He is febrile to 102.8.&nbsp; You perform a bedside ultrasound and note the following... <br /></font></p><p><font size="3"><a href="http://www.emsono.com/member/cases/30June2008/player.aspx" target="_blank">Take the Case</a></font><img src="http://www.emsono.com/newsletter/images/Case/tn_COW_30Jun08.jpg" alt="Emergency Ultrasound Case of the Week - EMsono" align="right" border="0" height="163" hspace="13" width="206" /><font size="3"> <br /></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=370" width="1" height="1">BeginnerIntermediateTesticlehttp://www.emsono.com/blogs/clinical_cases/archive/2008/06/23/Case-of-the-Week-Case-81.aspxMon, 23 Jun 2008 04:00:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:369Rob0<p><font size="3">56-year-old female with ruq abdominal pain.&nbsp; She is non-icteric.&nbsp; Her vitals are stable and she is </font><img src="http://www.emsono.com/newsletter/images/case/tn_COW_23Jun08.jpg" alt="EMsono Case of the Week - Emergency Ultrasound Education" align="right" border="0" height="186" hspace="13" width="201" /><font size="3"> afebrile.&nbsp; You perform a focused gallbladder ultrasound and note the following...</font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/23Jun08/player.aspx">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=369" width="1" height="1">RUQBeginnerhttp://www.emsono.com/blogs/clinical_cases/archive/2008/06/16/Case-of-the-Week-Case-80.aspxMon, 16 Jun 2008 04:00:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:367Rob0<p><font size="3">67-year-old dialysis patient is sent to the ED from dialysis.&nbsp; The dialysis nurse reports that they were able to dialyze the patient off of his graft.&nbsp; On exam, you can feel a bruit and a weak thrill.&nbsp; You perform a focused </font><img src="http://www.emsono.com/newsletter/images/case/tn_COW_16Jun08.jpg" alt="Emergency Ultrasound Clinical Case Online" align="right" border="0" height="150" hspace="13" width="201" /><font size="3"> ultrasound and note the following...</font></p><p><font size="3"><a href="http://www.emsono.com/member/cases/16Jun08/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=367" width="1" height="1">BeginnerIntermediateVascularhttp://www.emsono.com/blogs/dxglance/archive/2008/06/15/June-2008-Diagnosis-at-a-Glance.aspxMon, 16 Jun 2008 02:26:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:372Rob0<p>&nbsp;<font size="3">65 yo female with painless jaundice.&nbsp; You perform a focused ultrasound and note the following... <img src="http://www.emsono.com/newsletter/images/Glance/tn_DX_June2008.jpg" alt="Emergency Ultrasound Education Case - EMsono" align="right" border="0" height="180" hspace="12" width="206" /></font></p><p><font size="3">&nbsp;<a href="http://www.emsono.com/member/Glance/June08/player.aspx" target="_blank">Try the Diagnosis at a Glance</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=372" width="1" height="1">RUQIntermediatehttp://www.emsono.com/blogs/challenge/archive/2008/06/15/June-2008-Challenge.aspxSun, 15 Jun 2008 04:00:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:368Rob0<p><font size="3">64-year-old female presents to the ED three days after undergoing an outpatient diagnostic heart cath.&nbsp; She is complaining of <img src="http://www.emsono.com/newsletter/images/challenge/tn_Chall_Jun08.jpg" alt="Emergency Ultrasound Challenging Case - EMsono" align="right" border="0" height="218" hspace="13" width="201" /> pain and swelling at the catheter insertion site in the right groin.&nbsp;&nbsp; You perform a focused&nbsp; study of the right groin and note the following on the sagittal video...</font></p><p><font size="3"><a href="http://www.emsono.com/Member/challenge/June08/player.aspx" target="_blank">Take the Challenge</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=368" width="1" height="1">BeginnerIntermediateVascularhttp://www.emsono.com/blogs/clinical_cases/archive/2008/06/09/Case-of-the-Week-Case-79.aspxTue, 10 Jun 2008 03:00:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:366Rob0<p><font size="3">33-year-old male presents with RUQ abdominal pain of 36 hours duration.&nbsp;&nbsp; His vital signs are stable and he was afebrile.&nbsp; He <img height="140" alt="EMsono RUQ Ultrasound Case _ Emergency Ultrasound Cases" hspace="12" src="http://www.emsono.com/newsletter/images/case/tn_cow_9Jun08.jpg" width="206" align="right" border="0" />was non-icteric and his exam is unremarkable except for moderate RUQ tenderness.&nbsp;&nbsp; You perform an ultrasound and note the following...</font></p> <p><font size="3"><a class="" href="http://www.emsono.com/member/cases/9Jun2008/player.aspx" target="_blank">Take the Case</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=366" width="1" height="1">RUQIntermediatehttp://www.emsono.com/blogs/clinical_cases/archive/2008/06/03/Case-of-the-Week-Case-78.aspxTue, 03 Jun 2008 06:08:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:365Rob0<p><font size="3">52-year-old laborer presents with swelling to his right middle finger two days after sustaining a puncture wound with a piece of metal.&nbsp; His vitals are stable and he is afebrile.&nbsp; His physical exam is unremarkable with </font><img src="http://www.emsono.com/Newsletter/Images/Case/tn_COW_2Jun08.jpg" alt="Emergency Ultrasound Case Finger" align="right" border="0" height="142" hspace="12" width="201" /><font size="3"> the exception of fusiform swelling and erythema of the digit.&nbsp; There is no evidence of lymphangitis or clinical evidence of an abscess.&nbsp; You perform an ultrasound and note the following...</font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/2June2008/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=365" width="1" height="1">IntermediateMusculoskeletalAbscesshttp://www.emsono.com/blogs/clinical_cases/archive/2008/05/27/Case-of-the-Week-Case-77.aspxTue, 27 May 2008 12:04:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:364Rob0<p><font size="3">24-year-old G2P1001 female who is approximately 9.5 weeks by dates presents with mild cramping and </font><img src="http://www.emsono.com/newsletter/images/case/tn_cow_26May08.jpg" alt="EMsono Emergency Ultrasound Education - Clinical Case" align="right" border="0" height="153" hspace="13" width="211" /><font size="3">spotting.&nbsp; Her vital signs are stable and she is afebrile.&nbsp; You perform a pelvic ultrasound and note the following...</font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/26May2008/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=364" width="1" height="1">BeginnerIntermediatePregnancyhttp://www.emsono.com/blogs/clinical_cases/archive/2008/05/19/Case-of-the-Week-Case-76.aspxTue, 20 May 2008 02:41:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:361Rob0<p><font size="3">26-year-old female found unresponsive after a multiple drug overdose.&nbsp; Pt was profoundly hypoxic and </font><img src="http://www.emsono.com/Newsletter/Images/Case/tn_COW_19May2008.jpg" alt="EMsono Emergency Ultrasound Case" align="right" border="0" height="149" hspace="12" width="211" /><font size="3"> bradypneic upon EMS arrival.&nbsp; She was intubated by the paramedics without any medications.&nbsp; While in the ED, the patient remained unresponsive to both verbal and tactile stimuli.&nbsp; She was not assisting the ventilator either.&nbsp; You perform an ocular ultrasound to assess for elevated intraocular pressure and note the following…</font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/19May08/player.aspx" target="_blank">Take the Case</a><br />&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=361" width="1" height="1">IntermediateOculartraumaICPhttp://www.emsono.com/blogs/challenge/archive/2008/05/13/May-2008-Challenge.aspxTue, 13 May 2008 17:05:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:360Rob0<p><font face="Georgia" size="3">A 22-year-old right-hand dominant male with known retained glass foreign bodies (fb) in his for two months duration.&nbsp; The patient has seen several hand surgeons and told it would be best to leave the fb&#39;s&nbsp; alone.&nbsp; The patient <img height="158" alt="Emergent Point of Care Hand Ultrasound" hspace="12" src="http://www.emsono.com/newsletter/images/Challenge/tn_Chall_May2008.jpg" width="211" align="right" border="0" />presents to the ED stating he can no longer perform his job duties due to pain.&nbsp; You perform a focused ultrasound and note the following...<br /></font><font face="Georgia"><br /><font size="3"><a class="" href="http://www.emsono.com/Member/Challenge/May08/player.aspx" target="_blank">Take the Challenge</a></font></p></font><img src="http://www.emsono.com/aggbug.aspx?PostID=360" width="1" height="1">AdvancedIntermediateMusculoskeletalForeign Bodyhttp://www.emsono.com/blogs/dxglance/archive/2008/05/13/May-2008-diagnosis-at-a-glance.aspxTue, 13 May 2008 15:34:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:359Rob0<p><font size="3">32-year-old female with right upper quadrant pain. You perform a focused ultrasound and note the following...<img src="http://www.emsono.com/Newsletter/Images/Glance/tn_DX_May2008.jpg" alt="Right Upper Quadrant Ultrasound - Emergency" align="right" border="0" height="152" hspace="12" width="211" /></font> </p><p><a href="http://www.emsono.com/Member/Glance/May2008/player.aspx" target="_blank"><font size="3">Try the Diagnosis at a Glance</font></a> </p><img src="http://www.emsono.com/aggbug.aspx?PostID=359" width="1" height="1">RUQBeginnerhttp://www.emsono.com/blogs/clinical_cases/archive/2008/05/12/Case-of-the-Week-Case-75.aspxMon, 12 May 2008 12:50:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:358Rob0<p><font size="3">62-year-old male presents with acute visual loss. You perform an ocular ultrasound and note the following...<img src="http://www.emsono.com/Newsletter/Images/Case/tn_cow_12May08.jpg" alt="EMsono Emergency Case of the Week" align="right" border="0" height="163" hspace="12" width="211" /></font> </p><p><a href="http://www.emsono.com/Member/Cases/12May2008/player.aspx" target="_blank"><font size="3">Take the Case</font></a></p><img src="http://www.emsono.com/aggbug.aspx?PostID=358" width="1" height="1">IntermediateOcularhttp://www.emsono.com/blogs/clinical_cases/archive/2008/05/06/Case-of-the-Week-Case-74.aspxTue, 06 May 2008 15:04:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:357Rob0<p><font size="3">83-year-old male presents to the ED from the nursing home with fever and hypotension.&nbsp; The patient has a chronic indwelling foley catheter and is noted to have left scrotal swelling on exam.&nbsp; After resuscitating the </font><img src="http://www.emsono.com/Newsletter/Images/Case/tn_COW_5May08.jpg" alt="Emergency Ultrasound Case of the Week Testicle" align="right" border="0" height="144" hspace="12" width="211" /><font size="3"> patient, you perform and a bedside scrotal ultrasound and note the following...<br /></font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/5May2008/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=357" width="1" height="1">IntermediateTesticle