http://www.emsono.com/blogs/clinical_cases/default.aspxenCommunityServer 2007.1 (Build: 20917.1142)http://www.emsono.com/blogs/clinical_cases/archive/2008/09/02/Case-of-the-Week-Case-91.aspxTue, 02 Sep 2008 04:01:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:392Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=392http://www.emsono.com/blogs/clinical_cases/archive/2008/09/02/Case-of-the-Week-Case-91.aspx#comments<p><font size="3">48-year-old male presents with severe upper abdominal pain that was sudden in onset.&nbsp; The patient has no PMH although he relates a history of heavy ETOH abuse.&nbsp; His vitals reveal a stable BP but the patient&#39;s heart rate is in the 130&#39;s.&nbsp; His abdominal exam reveals <img src="http://www.emsono.com/newsletter/images/Case/tn_cow_1Sep08.jpg" alt="EMsono Case of the Week. Emergency Ultrasound" align="right" border="0" height="153" hspace="12" width="211" />exquisite tenderness with guarding in the midepigastric and RUQ regions…</font></p><p><a href="http://www.emsono.com/member/cases/1sep08/player.aspx" target="_blank"><font size="3">Take the Case</font></a> <br /></p><img src="http://www.emsono.com/aggbug.aspx?PostID=392" width="1" height="1">FASTRUQIntermediateAdvancedPelvicerforated viscushttp://www.emsono.com/blogs/clinical_cases/archive/2008/08/25/Case-of-the-Week-Case-90.aspxMon, 25 Aug 2008 13:25:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:391Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=391http://www.emsono.com/blogs/clinical_cases/archive/2008/08/25/Case-of-the-Week-Case-90.aspx#comments<p><font size="3">A 54-year-old male presents with a significant UGI bleed.&nbsp; He seeks his care at an outside hospital and you have no records for him at your hospital.&nbsp; Due to his GI bleeding, you want to fluid resuscitate the patient but are concerned due <img height="153" alt="EMsono Emergency Medicine Case" hspace="13" src="http://www.emsono.com/newsletter/Images/Case/tn_COW_25Aug08.jpg" width="211" align="right" border="0" />to his CHF history.&nbsp; You perform a focused echo to assess for global LV function and note the following…</font></p> <p><font size="3"><a class="" href="http://www.emsono.com/Member/Cases/25Aug08/player.aspx" target="_blank">Take the Case</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=391" width="1" height="1">BeginnerIntermediateAdvancedCardiacCVPhttp://www.emsono.com/blogs/clinical_cases/archive/2008/08/18/Case-of-the-Week-Case-89.aspxMon, 18 Aug 2008 12:43:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:388Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=388http://www.emsono.com/blogs/clinical_cases/archive/2008/08/18/Case-of-the-Week-Case-89.aspx#comments<p><font size="3">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… <img height="140" alt="Emergency Ultrasound Case" hspace="12" src="http://www.emsono.com/newsletter/Images/Case/tn_COW_18Aug08.jpg" width="206" align="right" border="0" /></font></p> <p><font size="3"><a class="" href="http://www.emsono.com/Member/Cases/18Aug08/August%2018th,%202008%20Case%20of%20the%20Week/player.html" target="_blank">Take the Case</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=388" width="1" height="1">BeginnerIntermediatetraumalunghttp://www.emsono.com/blogs/clinical_cases/archive/2008/08/11/Case-of-the-Week-_2D00_-Case-_2300_-88.aspxMon, 11 Aug 2008 13:52:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:386Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=386http://www.emsono.com/blogs/clinical_cases/archive/2008/08/11/Case-of-the-Week-_2D00_-Case-_2300_-88.aspx#comments<p><font size="3">During your ED shift, a resident comes to you and asks you to look at a 1st trimester OB scan he has performed.&nbsp; He is concerned about impending fetal demise due to severe fetal bradycardia.&nbsp; The resident shows you the following </font><img src="http://www.emsono.com/newsletter/Images/Case/tn_COW_11Aug08.jpg" alt="Emergency Ultrasound Cases - EMsono" align="right" border="0" height="148" hspace="12" width="201" /><font size="3"> video and you note the following…</font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/11Aug08/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=386" width="1" height="1">PelvicBeginnerOBPregnancyPelvic USPractical Scanninghttp://www.emsono.com/blogs/clinical_cases/archive/2008/08/03/Case-of-the-Week-Case-87.aspxMon, 04 Aug 2008 01:41:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:382Rob3http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=382http://www.emsono.com/blogs/clinical_cases/archive/2008/08/03/Case-of-the-Week-Case-87.aspx#comments<p><font size="3">24-year-old female presents with vaginal spotting and cramping.&nbsp; Her quant HCG is 2241.&nbsp; She is at 10 weeks by dates.&nbsp; She is hemodynamically stable.&nbsp; You perform a focused ultrasound.&nbsp;&nbsp; The mean sac diameter was calculated <img height="137" alt="EMsono Ultrasound Education" hspace="12" src="http://www.emsono.com/newsletter/Images/Case/tn_COW_4Aug08.jpg" width="201" align="right" border="0" /><br />(28 mm)...</font></p> <p><a class="" href="http://www.emsono.com/Member/Cases/4Aug2008/player.aspx" target="_blank"><font size="3">Take the Case</font></a></p><img src="http://www.emsono.com/aggbug.aspx?PostID=382" width="1" height="1">PelvicBeginnerIntermediateOBPregnancyPelvic UShttp://www.emsono.com/blogs/clinical_cases/archive/2008/07/28/Case-of-the-Week-Case-86.aspxMon, 28 Jul 2008 20:14:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:379Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=379http://www.emsono.com/blogs/clinical_cases/archive/2008/07/28/Case-of-the-Week-Case-86.aspx#comments<p><font size="3">20-year-old male is admitted to the ED via EMS after a rollover MVC.&nbsp; The patient is hemodynamically stable.&nbsp; On exam you note that the patient has multiple torso bruises.&nbsp; After initial stabilization, you perform a FAST exam and note the following (perihepatic and perisplenic <img height="142" alt="Emergency Ultrasound Clinical Case - EMsono" hspace="12" src="http://www.emsono.com/newsletter/Images/Case/tn_cow_28jul08.jpg" width="206" align="right" border="0" />windows shown):</font></p> <p><font size="3"><a class="" href="http://www.emsono.com/Member/Cases/28Jul08/player.aspx" target="_blank">Take the Case</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=379" width="1" height="1">FASTBeginnerIntermediatetraumahttp://www.emsono.com/blogs/clinical_cases/archive/2008/07/21/Case-of-the-Week-Case-85.aspxMon, 21 Jul 2008 22:09:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:376Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=376http://www.emsono.com/blogs/clinical_cases/archive/2008/07/21/Case-of-the-Week-Case-85.aspx#comments<p><font size="3">A 52-year-old male presents with right leg pain.&nbsp; He is morbidly obese and has calf tenderness on the right.&nbsp; You perform a focused venous compression ultrasound from the groin to the knee and do not find a DVT. </font><img src="http://www.emsono.com/newsletter/images/Case/tn_cow_21jul08.jpg" alt="Emergency Ultrasound" align="right" border="0" height="225" hspace="12" width="206" /><font size="3"> You subsequently scan the area of tenderness within the calf and note the following... <br /></font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/21Jul08/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=376" width="1" height="1">BeginnerDVTVascularhttp://www.emsono.com/blogs/clinical_cases/archive/2008/07/14/Case-of-the-Week-Case-84.aspxMon, 14 Jul 2008 04:01:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:375Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=375http://www.emsono.com/blogs/clinical_cases/archive/2008/07/14/Case-of-the-Week-Case-84.aspx#comments<p><font size="3">A 58-year-old male with a history of hypertension presents to the ED with abdominal pain. His vitals are BP: 105/60 Pulse: 90 <img height="163" alt="Emergency Ultrasound" hspace="13" src="http://www.emsono.com/Newsletter/Images/Case/tn_COW_14Jul08.jpg" width="201" align="right" border="0" />RR: 20 and he is afebrile. You perform a focused bedside ultrasound and note the following… </font></p> <p><font size="3"><a class="" href="http://www.emsono.com/member/cases/14Jul08/player.aspx" target="_blank">Take the Case</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=375" width="1" height="1">AortaBeginnerhttp://www.emsono.com/blogs/clinical_cases/archive/2008/07/07/-Case-of-the-Week-Case-83.aspxMon, 07 Jul 2008 04:01:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:371Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=371http://www.emsono.com/blogs/clinical_cases/archive/2008/07/07/-Case-of-the-Week-Case-83.aspx#comments<p><font size="3">A 24-year-old G1P0 female presents to the ED with pelvic cramping and spotting.&nbsp; Her vitals are stable </font><img src="http://www.emsono.com/newsletter/images/Case/tn_cow_7july08.jpg" alt="EMsono July Case - Emergency Medicine Ultrasound" align="right" border="0" height="162" hspace="12" width="211" /><font size="3"> and she is afebrile.&nbsp; The&nbsp; patient states she has had some lower pelvic pain for 36 hours and has bleed less than 2 pads in the last 12 hours.&nbsp; Her quantitative hCG is 3,680.&nbsp; You perform a focused bedside ultrasound and note the following…</font></p><p><font size="3"><a href="http://www.emsono.com/member/cases/7July08/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=371" width="1" height="1">PelvicBeginnerIntermediatePregnancyPelvic UShttp://www.emsono.com/blogs/clinical_cases/archive/2008/06/30/-Case-of-the-Week-_2D00_-Case-_2300_-82.aspxMon, 30 Jun 2008 04:01:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:370Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=370http://www.emsono.com/blogs/clinical_cases/archive/2008/06/30/-Case-of-the-Week-_2D00_-Case-_2300_-82.aspx#comments<p><font size="3">46-year-old male presents with right scrotal swelling and pain.&nbsp; He is febrile to 102.8.&nbsp; You perform a bedside ultrasound and note the following... <br /></font></p><p><font size="3"><a href="http://www.emsono.com/member/cases/30June2008/player.aspx" target="_blank">Take the Case</a></font><img src="http://www.emsono.com/newsletter/images/Case/tn_COW_30Jun08.jpg" alt="Emergency Ultrasound Case of the Week - EMsono" align="right" border="0" height="163" hspace="13" width="206" /><font size="3"> <br /></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=370" width="1" height="1">BeginnerIntermediateTesticlehttp://www.emsono.com/blogs/clinical_cases/archive/2008/06/23/Case-of-the-Week-Case-81.aspxMon, 23 Jun 2008 04:00:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:369Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=369http://www.emsono.com/blogs/clinical_cases/archive/2008/06/23/Case-of-the-Week-Case-81.aspx#comments<p><font size="3">56-year-old female with ruq abdominal pain.&nbsp; She is non-icteric.&nbsp; Her vitals are stable and she is </font><img src="http://www.emsono.com/newsletter/images/case/tn_COW_23Jun08.jpg" alt="EMsono Case of the Week - Emergency Ultrasound Education" align="right" border="0" height="186" hspace="13" width="201" /><font size="3"> afebrile.&nbsp; You perform a focused gallbladder ultrasound and note the following...</font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/23Jun08/player.aspx">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=369" width="1" height="1">RUQBeginnerhttp://www.emsono.com/blogs/clinical_cases/archive/2008/06/16/Case-of-the-Week-Case-80.aspxMon, 16 Jun 2008 04:00:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:367Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=367http://www.emsono.com/blogs/clinical_cases/archive/2008/06/16/Case-of-the-Week-Case-80.aspx#comments<p><font size="3">67-year-old dialysis patient is sent to the ED from dialysis.&nbsp; The dialysis nurse reports that they were able to dialyze the patient off of his graft.&nbsp; On exam, you can feel a bruit and a weak thrill.&nbsp; You perform a focused </font><img src="http://www.emsono.com/newsletter/images/case/tn_COW_16Jun08.jpg" alt="Emergency Ultrasound Clinical Case Online" align="right" border="0" height="150" hspace="13" width="201" /><font size="3"> ultrasound and note the following...</font></p><p><font size="3"><a href="http://www.emsono.com/member/cases/16Jun08/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=367" width="1" height="1">BeginnerIntermediateVascularhttp://www.emsono.com/blogs/clinical_cases/archive/2008/06/09/Case-of-the-Week-Case-79.aspxTue, 10 Jun 2008 03:00:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:366Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=366http://www.emsono.com/blogs/clinical_cases/archive/2008/06/09/Case-of-the-Week-Case-79.aspx#comments<p><font size="3">33-year-old male presents with RUQ abdominal pain of 36 hours duration.&nbsp;&nbsp; His vital signs are stable and he was afebrile.&nbsp; He <img height="140" alt="EMsono RUQ Ultrasound Case _ Emergency Ultrasound Cases" hspace="12" src="http://www.emsono.com/newsletter/images/case/tn_cow_9Jun08.jpg" width="206" align="right" border="0" />was non-icteric and his exam is unremarkable except for moderate RUQ tenderness.&nbsp;&nbsp; You perform an ultrasound and note the following...</font></p> <p><font size="3"><a class="" href="http://www.emsono.com/member/cases/9Jun2008/player.aspx" target="_blank">Take the Case</a></font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=366" width="1" height="1">RUQIntermediatehttp://www.emsono.com/blogs/clinical_cases/archive/2008/06/03/Case-of-the-Week-Case-78.aspxTue, 03 Jun 2008 06:08:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:365Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=365http://www.emsono.com/blogs/clinical_cases/archive/2008/06/03/Case-of-the-Week-Case-78.aspx#comments<p><font size="3">52-year-old laborer presents with swelling to his right middle finger two days after sustaining a puncture wound with a piece of metal.&nbsp; His vitals are stable and he is afebrile.&nbsp; His physical exam is unremarkable with </font><img src="http://www.emsono.com/Newsletter/Images/Case/tn_COW_2Jun08.jpg" alt="Emergency Ultrasound Case Finger" align="right" border="0" height="142" hspace="12" width="201" /><font size="3"> the exception of fusiform swelling and erythema of the digit.&nbsp; There is no evidence of lymphangitis or clinical evidence of an abscess.&nbsp; You perform an ultrasound and note the following...</font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/2June2008/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=365" width="1" height="1">IntermediateMusculoskeletalAbscesshttp://www.emsono.com/blogs/clinical_cases/archive/2008/05/27/Case-of-the-Week-Case-77.aspxTue, 27 May 2008 12:04:00 GMT58bcd817-2e8e-4572-b3dd-7da035aeaf31:364Rob0http://www.emsono.com/blogs/clinical_cases/rsscomments.aspx?PostID=364http://www.emsono.com/blogs/clinical_cases/archive/2008/05/27/Case-of-the-Week-Case-77.aspx#comments<p><font size="3">24-year-old G2P1001 female who is approximately 9.5 weeks by dates presents with mild cramping and </font><img src="http://www.emsono.com/newsletter/images/case/tn_cow_26May08.jpg" alt="EMsono Emergency Ultrasound Education - Clinical Case" align="right" border="0" height="153" hspace="13" width="211" /><font size="3">spotting.&nbsp; Her vital signs are stable and she is afebrile.&nbsp; You perform a pelvic ultrasound and note the following...</font></p><p><font size="3"><a href="http://www.emsono.com/Member/Cases/26May2008/player.aspx" target="_blank">Take the Case</a>&nbsp;</font></p><img src="http://www.emsono.com/aggbug.aspx?PostID=364" width="1" height="1">BeginnerIntermediatePregnancy