Browse by Tags

• Advanced
• AV graft
• Beginner
• FAST
• Foreign Body
• Musculoskeletal
• Procedural
• Renal
• Vascular

• 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

• June 2008 Challenge

  64-year-old female presents to the ED three days after undergoing an outpatient diagnostic heart cath. She is complaining of pain and swelling at the catheter insertion site in the right groin. You perform a focused study of the right groin and note the following on the sagittal video...... Posted Jun 15 2008, 12:00 AM by Rob with | with no comments Filed under: Beginner, Intermediate, Vascular

• 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

• April 2008 Challenge

  48-year-old Amish female transferred via lifeflight after an auto vs. buggy accident. The patient is intubated at the scene for a GCS 6. Her vitals on arrival are as follows: BP-84/50, HR 142, RR- 20 (bagged) and PO-100%. On examination, she has multiple bruises noted on her torso and extremities. Her pelvis is unstable and she has a closed right femur fracture. After initial stabilization you perform a FAST exam. The pericardial, perisplenic and pelvic windows were negative. On the perihepatic window you note the following...... Posted Apr 20 2008, 06:55 AM by Rob with | with 2 comment(s) Filed under: Intermediate, FAST, Renal

• February 2008 EMsono Challenge

  A 40-year-old female presents with non-traumatic left hand pain. Patient is right-hand dominant and has no significant PMH. Pt states she is unemployed and did not do anything that could have caused this pain. On examination, her vital signs are stable and she is afebrile. She has swelling on the dorsal aspect of her hand extending toward the wrist. She has good ROM but has pain with extension and flexion of digits. No definitive cellulitis or lymphangitis is noted, although the swollen area feels warmer than the surrounding tissue. Her labs are as follows: WBC 6.8 with normal differential, ESR 14, CRP 0.8. Her hand xray was negative for acute process per radiology. You perform a focused ultrasound of the hand and note the following...... Posted Feb 14 2008, 02:34 AM by Rob with | with no comments Filed under: Intermediate, Procedural, Musculoskeletal