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• AV graft
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• Pericardial Effusion
• Pleural Effusion
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• Renal
• RUQ
• Vascular

• August 2008 Challenge

  56-year-old female with metastatic breast CA presents with dyspnea and hypotension. You are concerned that the patient has a pericardial effusion with tamponade physiology and perform a focused echo. ... Posted Aug 15 2008, 07:32 AM by Rob with | with no comments Filed under: Cardiac, Advanced, Lung, Pericardial Effusion, Pleural Effusion

• July 2008 Challenge

  54-year-old dialysis patient presents with left arm pain and swelling. His dialysis nurse sends him in because she is afraid to dialyze him from his AV graft in the left arm. 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. You perform a focused study of the left arm and note the following...... Posted Jul 21 2008, 06:26 PM by Rob with | with no comments Filed under: Advanced, Intermediate, Vascular, AV graft

• May 2008 Challenge

  A 22-year-old right-hand dominant male with known retained glass foreign bodies (fb) in his for two months duration. The patient has seen several hand surgeons and told it would be best to leave the fb's alone. The patient presents to the ED stating he can no longer perform his job duties due to pain. You perform a focused ultrasound and note the following...... Posted May 13 2008, 01:05 PM by Rob with | with no comments Filed under: Advanced, Intermediate, Musculoskeletal, Foreign Body

• March 2008 EMsono Challenge

  32-year-old female presents to the ED with RUQ abdominal pain and jaundice. She denies any chronic Emergency Ultrasound Challenge - EMsono medical conditions and does not take any medications. She admits to tobacco use but denies other drug use. She appears obviously jaundiced but is otherwise nontoxic and has stable vital signs. Her physical exam is only significant for the jaundice and some RUQ tenderness with guarding. You perform a gallbladder ultrasound and note the following...... Posted Mar 25 2008, 11:17 PM by Rob with | with no comments Filed under: Advanced, RUQ

• January 2008 EMsono Challenge

  A 43-year-old female presents to the ED with sudden onset of dyspnea and left sided chest pain. The patient tells you she just underwent a TAH for uterine fibroids and was discharged home 5 days ago. The patient denies other past medical history although... Posted Jan 09 2008, 12:26 AM by Rob with | with no comments Filed under: Advanced, Lung

• December 2007 EMsono Challenge

  5 week old male child presents with three days of non-bloody, non-bilous emesis. The mother states she feeds the child only 1 ounce at a time and he has emesis after each feeding which is "projectile". Mother denies fever, irritability, lethargy... Posted Dec 26 2007, 06:17 PM by Rob with | with 2 comment(s) Filed under: Advanced, Pediatric

• November 2007 EMsono Challenge

  You are asked by one of your colleagues to scan a 22-year-old women who is 18 weeks pregnant. Her PMH is only significant for ureteral stones. She presented with fever of 103 F and right flank pain. Her urinalysis is consistent with a UTI and your colleague suspects pyelonephritis. He is concerned, however, that this may be a result of an obstructive uropathy due to a ureteral stone based on her PMH. He asks you to evaluate the patient for the presence of hydronephrosis. ... Posted Nov 09 2007, 02:29 PM by Rob with | with no comments Filed under: Advanced, Renal, pregnancy

• October 2007 EMsono Challenge

  54-year-old hispanic male presents with intractable vomiting and upper abdominal pain. He has a history of type 2 DM and hypertension. He was just recently discharged from the medicine service where he was hospitalized for intractable vomiting. He denies history of early satiety or history of fried/fatty food intolerances. On examination, the patient appears uncomfortable. His abdomen is distended and he has midepigastric and right upper quadrant tenderness but no rebound. His vitals signs are stable. You are concerned about possible cholecystitis and you perform a focused GB ultrasound and note the following:... Posted Oct 07 2007, 11:31 PM by Rob with | with no comments Filed under: Advanced, RUQ

• September 2007 EMsono Challenge

  A 64-year-old female visiting from Jordan develops RUQ abdominal pain and jaundice. You are asked to perform a focused ultrasound of the gallbladder to assess for acute gallbladder disease. The patient's vitals are stable and her abdominal exam reveals RUQ tenderness but no organomegaly. You perform a focused GB ultrasound and note the following...... Posted Sep 30 2007, 01:00 AM by Rob with | with no comments Filed under: Advanced, Gallbladder, RUQ