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• 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

• 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