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  • October 2008 Challenge

    52-year-old male with history of COPD and cor pulmonale presents with severe respiratory distress and failure. The EMsono Challenge Imagepatient’s wife states this was worse than any other COPD exacerbation he has ever had. He has no prior history of DVT-PE but you are concerned that the patient may have had a PE. Despite aggressive medical management, the patient’s respiratory status worsens......
    Posted Oct 20 2008, 01:59 PM by Rob with | with no comments
  • September 2008 Challenge

    68-year-old male presents with acute dyspnea. He has not sought care since moving to town several years ago. He relates a history of prior MI and heart failure. He is not taking any meds currently. You perform a focused ultrasound in order to assess LV function......
  • 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......
  • 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......
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