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August 2010 Challenge

The case material for this Challenge was provided by Dr. Brooks LaSelle and Dr. Brian Snyder - thanks for the interesting case! A 28 year-old male that presented to the hospital with left trapezial pain. This patient has a history of back pain and when...

Published 20 Aug 2010 1:06 PM by Rob

Filed under: Advanced, Musculoskeletal
June 2010 Challenge

21-year-old male crushed between two heavy objects at work presents with abdominal and chest pain. His vitals are stable and he is afebrile. You perform a focused ultrasound of the RUQ and note the following… Take the Challenge

Published 16 Jun 2010 8:20 AM by Rob

Filed under: Trauma, FAST, Advanced
March 2010 Challenge

22-year-old male with single GSW along right lateral chest. On arrival he is in significant respiratory distress and is intubated and a 36 Fr CT inserted. You perform an ultrasound evaluation of the RUQ, midepigastric, and pelvic regions and note the...

Published 31 Mar 2010 10:34 AM by Rob

Filed under: Trauma, FAST, Advanced, GSW
August 2009 Challenge

28 y.o. female presents to the ED with intermittent lower abdominal cramping. Patient had received MTX one month ago for a non-ruptured left tubal ectopic pregnancy. On initial presentation, the patient had a quantitative HCG of 2277 and her ultrasound...

Published 14 Aug 2009 3:10 AM by Rob

Filed under: Advanced, pregnancy
May 2009 Challenge

42-year-old male found down in a hotel lobby. PMH is unknown. EMS reports patient was initially pulseless and severely bradycardic. He transiently would have ROSC with ACLS. Upon arrival to the ED, he once again became pulseless and ACLS was initiated...

Published 29 May 2009 7:57 PM by Rob

Filed under: Advanced, Cardiac, ACLS, Code, Echo
March 2009 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...

Published 31 Mar 2009 7:58 PM by Rob

Filed under: Intermediate, Advanced, Cardiac, CHF, Pleural Effusion
February 2009 Challenge

26-year-old female presents with right adnexal pain and spotting. She is 6 weeks pregnant by dates and has a quantitative HCG of 2014. Her vital signs are stable and she is afebrile. You perform and ultrasound and note the following... Take the Challenge

Published 25 Feb 2009 8:00 PM by Rob

Filed under: Intermediate, Advanced, pregnancy, OB
January 2009 Challenge

22-year-old male with single GSW to the left lateral chest presents via EMS. Medics report the patient had spontaneous circulation en route but then arrested as they were pulling up to the ambulance bay. On arrival, the patient is in full cardiac arrest...

Published 29 Jan 2009 8:06 PM by Rob

Filed under: Trauma, Beginner, Intermediate, Advanced, Cardiac, GSW
October 2008 Challenge

52-year-old male with history of COPD and cor pulmonale presents with severe respiratory distress and failure. The patient'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...

Published 20 Oct 2008 1:08 PM by Rob

Filed under: Intermediate, Advanced, Cardiac
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...

Published 30 Sep 2008 9:57 PM by Rob

Filed under: Beginner, Intermediate, Advanced, Cardiac, Pleural Effusion, Pericardial Effusion
August 2008 Challenge

56-year-old female with metastatic *** CA presents with dyspnea and hypotension. You are concerned that the patient has a pericardial effusion with tamponade physiology and perform a focused echo. Take the Challenge

Published 15 Aug 2008 10:02 PM by Rob

Filed under: Advanced, Cardiac, Pleural Effusion, Pericardial Effusion, Lung
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...

Published 21 Jul 2008 10:05 PM by Rob

Filed under: Intermediate, Advanced, 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...

Published 13 May 2008 10:11 PM by Rob

Filed under: Intermediate, Advanced, Foreign Body, Musculoskeletal
March 2008 Challenge

32-year-old female presents to the ED with RUQ abdominal pain and jaundice. She denies any chronic 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...

Published 25 Mar 2008 10:22 PM by Rob

Filed under: Advanced, Gallbladder, RUQ
January 2008 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...

Published 9 Jan 2008 10:28 PM by Rob

Filed under: Advanced, Lung

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