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• Case of the Week - Case # 95

  21-year-old G3P2 TOA1 female presents with severe pelvic pain, lies with her hips flexed and won't straighten her legs. Pulse 102, BP 102/80,temp 37.0 R-16. Pt refuses pelvic and abd exam, demands a CT scan, denies pregnancy based on a mefipristone abortion 6 weeks PTA. Her serum preg IS negative but her urine preg is weak pos. She finally agrees to a trans-abd US in exchange for pain meds & ice chips. You perform a focused ultrasound and note the following…... Posted Sep 29 2008, 02:52 PM by Rob with | with no comments Filed under: Pelvic, Beginner, Intermediate, OB, Pregnancy, Pelvic US

• Case of the Week - Case # 94

  18-year-old G1P0 female presents with spotting and cramping. Her vitals are stable and she is afebrile. Your resident states he sees an IUP and notices the flicker of the cardiac activity. You perform a focused ultrasound and note the following...... Posted Sep 22 2008, 11:42 PM by Rob with | with no comments Filed under: Intermediate, Advanced, Pregnancy, Pelvic US

• Case of the Week - Case # 93

  25-year-old male presents with recurring right hand swelling three weeks after punching a glass window. You perform a focused ultrasound and note the following...... Posted Sep 15 2008, 11:02 PM by Rob with | with no comments Filed under: Intermediate, Advanced, Musculoskeletal, Hand, trauma, Foreign body

• Case of the Week - Case # 92

  34-year-old female with left lower abdominal pain and spotting. She has a quant of 786. Her vitals are stable and she is afebrile. You perform a focused ultrasound and note the following...... Posted Sep 08 2008, 05:14 PM by Rob with | with 2 comment(s) Filed under: Pelvic, Beginner, Intermediate, Advanced, OB, Pregnancy, Pelvic US

• Case of the Week - Case # 91

  48-year-old male presents with severe upper abdominal pain that was sudden in onset. The patient has no PMH although he relates a history of heavy ETOH abuse. His vitals reveal a stable BP but the patient's heart rate is in the 130's. His abdominal exam reveals exquisite tenderness with guarding in the midepigastric and RUQ regions…... Posted Sep 02 2008, 12:01 AM by Rob with | with no comments Filed under: FAST, RUQ, Intermediate, Advanced, Pelvicerforated viscus

• Case of the Week - Case # 90

  A 54-year-old male presents with a significant UGI bleed. He seeks his care at an outside hospital and you have no records for him at your hospital. Due to his GI bleeding, you want to fluid resuscitate the patient but are concerned due to his CHF history. You perform a focused echo to assess for global LV function and note the following…... Posted Aug 25 2008, 09:25 AM by Rob with | with no comments Filed under: Beginner, Intermediate, Advanced, Cardiac, CVP

• Case of the Week - Case # 89

  A 28-year-old male presents with chest pain after being struck in the chest with a baseball bat injury to his chest while playing ball. His vitals are BP 110/74, HR 118, RR 26, PO 93% on RA. You perform a bedside ultrasound…... Posted Aug 18 2008, 08:43 AM by Rob with | with no comments Filed under: Beginner, Intermediate, trauma, lung

• Case of the Week - Case # 87

  24-year-old female presents with vaginal spotting and cramping. Her quant HCG is 2241. She is at 10 weeks by dates. She is hemodynamically stable. You perform a focused ultrasound. The mean sac diameter was calculated (28 mm)...... Posted Aug 03 2008, 09:41 PM by Rob with | with 3 comment(s) Filed under: Pelvic, Beginner, Intermediate, OB, Pregnancy, Pelvic US

• Case of the Week - Case # 86

  20-year-old male is admitted to the ED via EMS after a rollover MVC. The patient is hemodynamically stable. On exam you note that the patient has multiple torso bruises. After initial stabilization, you perform a FAST exam and note the following (perihepatic and perisplenic windows shown):... Posted Jul 28 2008, 04:14 PM by Rob with | with no comments Filed under: FAST, Beginner, Intermediate, trauma

• Case of the Week - Case # 83

  A 24-year-old G1P0 female presents to the ED with pelvic cramping and spotting. Her vitals are stable EMsono July Case - Emergency Medicine Ultrasound and she is afebrile. The patient states she has had some lower pelvic pain for 36 hours and has bleed less than 2 pads in the last 12 hours. Her quantitative hCG is 3,680. You perform a focused bedside ultrasound and note the following…... Posted Jul 07 2008, 12:01 AM by Rob with | with no comments Filed under: Pelvic, Beginner, Intermediate, Pregnancy, Pelvic US

• Case of the Week - Case # 82

  46-year-old male presents with right scrotal swelling and pain. He is febrile to 102.8. You perform a bedside ultrasound and note the following... ... Posted Jun 30 2008, 12:01 AM by Rob with | with no comments Filed under: Beginner, Intermediate, Testicle

• Case of the Week - Case # 80

  67-year-old dialysis patient is sent to the ED from dialysis. The dialysis nurse reports that they were able to dialyze the patient off of his graft. On exam, you can feel a bruit and a weak thrill. You perform a focused ultrasound and note the following...... Posted Jun 16 2008, 12:00 AM by Rob with | with no comments Filed under: Beginner, Intermediate, Vascular

• Case of the Week - Case # 79

  33-year-old male presents with RUQ abdominal pain of 36 hours duration. His vital signs are stable and he was afebrile. He was non-icteric and his exam is unremarkable except for moderate RUQ tenderness. You perform an ultrasound and note the following...... Posted Jun 09 2008, 11:00 PM by Rob with | with no comments Filed under: RUQ, Intermediate

• Case of the Week - Case # 78

  52-year-old laborer presents with swelling to his right middle finger two days after sustaining a puncture wound with a piece of metal. His vitals are stable and he is afebrile. His physical exam is unremarkable with the exception of fusiform swelling and erythema of the digit. There is no evidence of lymphangitis or clinical evidence of an abscess. You perform an ultrasound and note the following...... Posted Jun 03 2008, 02:08 AM by Rob with | with no comments Filed under: Intermediate, Musculoskeletal, Abscess

• Case of the Week - Case # 77

  24-year-old G2P1001 female who is approximately 9.5 weeks by dates presents with mild cramping and spotting. Her vital signs are stable and she is afebrile. You perform a pelvic ultrasound and note the following...... Posted May 27 2008, 08:04 AM by Rob with | with no comments Filed under: Beginner, Intermediate, Pregnancy