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  • 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
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  • 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
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  • 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
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