March 2007 - Posts

• Case of the Week - Case # 20

  28 month old male presents with a history of no urine output for 36 hours.  The patient has a PMH of chronic reflux nephropathy and underwent surgical correction one year ago.  He was admitted one month later with an episode of urinary retention and was found to have a urethral stricture.  Father states that the child really has not been eating or drinking much in the past 3 days so he attributed the decreased urine output to dehydration.  The patient appears dehydrated and he has a temperature of 39.6 C.  On physical examination, the patient has diffuse lower abdominal tenderness.  You perform an ultrasound of the patient’s bladder ...   Take the Case Posted Mar 21 2007, 12:00 AM by Rob with no comments Filed under: Renal, Intermediate

• Case of the Week - Case # 19

  84 y.o. BF with history of HTN, CAD, CHF and A fib (on Coumadin) presents with nontraumatic right shoulder pain. Her vitals are stable and her temperature is 38.1 C. On physical examination, you note the obvious swelling of the right shoulder. She has good passive range of motion but it causes moderate pain. Her plain x-rays of the shoulder reveal DJD and “soft tissue swelling” but no acute fracture or dislocation. Her labs include the following: WBC count-12.84, ESR-54, CRP-8.1 and INR-3.7. You perform an ultrasound of her right shoulder...   Take the Case Posted Mar 14 2007, 12:00 AM by Rob with no comments Filed under: Intermediate, Advanced, Musculoskeletal

• Case of the Week - Case # 18

  76 y.o. male presents to the ED via EMS with a blood pressure of 68/42. He was just discharged from the hospital yesterday after having undergone an outpatient cystoscopy with bladder mass biopsy. Nursing is unable to obtain peripheral venous access so you decide to place a right IJ catheter. You scan the IJ vein and note the following...   Take the Case Posted Mar 07 2007, 01:18 AM by Rob with no comments Filed under: Beginner, Intermediate, Case, Procedural ultrasound, Vascular