September 2007 - Posts

• Case of the Week - Case # 45

  54-year-old male presents with right leg swelling of 5 days duration.  He denies hx of DVT.  He has a history of metastatic lung CA.  He denies fever or trauma.  His vitals are stable.  You perform a bedside ultrasound and note the following... Take the case Posted Sep 30 2007, 11:56 PM by Rob with no comments Filed under: Beginner, DVT, Vascular

• Case of the Week - Case # 44

  A 36 y.o. female presents after a rollover MVC.  On examination, she has a right wrist fracture, left femur fracture and left ankle fracture.  In addition, she has numerous thoracoabdominal bruises noted and a large scalp laceration that appears to have bleed a significant amount.  She remained hemodynamically stable until midway through her ED visit, when her blood pressure was noted to drop to 82/54 with a heart rate of 126.  As you begin fluid resuscitating the patient, you grab the ultrasound machine and perform a FAST exam. Take the Case Posted Sep 23 2007, 06:52 PM by Rob with no comments Filed under: FAST, Beginner

• Case of the Week - Case # 43

  A 24 y.o. G3P2002 WF who is 8.5 weeks by dates presents with vomiting and lower abdominal cramping without vaginal bleeding.  She denies any PMH or known ectopic risk factors and has stable vital signs. Take the Case Posted Sep 15 2007, 02:21 AM by Rob with no comments Filed under: Pelvic, Beginner, Intermediate

• Case of the Week - Case # 42

  A 24 y.o. female presents via EMS after being ejected from a vehicle in a rollover MVC.  On arrival, her GCS was 3 and her vitals were: BP 100/64, HR 118, RR 20.  The patient has multiple torso bruises and is noted to have diminished breath sounds on the left.  After the patient is intubated and the initial phase of the resuscitation is complete, you perform a FAST exam and note the following on the pericardial and perihepatic windows. Take the Case Posted Sep 08 2007, 11:51 PM by Rob with no comments Filed under: FAST, Intermediate