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  • Case 156

    53-year-old male with RUQ abdominal pain. His vitals are stable and he is afebrile. His WBC is 14.1K and his hepatic panel was normal. You perform a RUQ ultrasound and find… Take the Case
    Posted to EMsono Cases by Rob on 24 Mar 2010
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  • Case 155

    44 year-old female presents with right upper quadrant pain. The patient states she has a history of gallbladder problems. 7 days ago she underwent replacement of her common bile duct stent. You perform a focused ultrasound and note the following… Take the Case...
    Posted to EMsono Cases by Rob on 15 Mar 2010
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  • Case 152

    36-year-old male presents with RUQ abdominal pain. The patient is afebrile and has normal vital signs. His pain does not radiate and nothing seems to make it better or worse. You perform a focused ultrasound of his RUQ and find… Take the Case
    Posted to EMsono Cases by Rob on 15 Feb 2010
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  • January 2010 Challenge

    82-year-old NH resident presents with abd pain and hypotension. The patient is acutely ill appearing and on exam, has a rigid abdomen. While you fluid resuscitate the patient, you perform a focused GB ultrasound and note the following… Take the Challenge
    Posted to EMsono Challenges by Rob on 15 Jan 2010
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  • Case 120

    32-year-old female with midepigastric & RUQ abdominal pain. Her vitals are stable and she is afebrile. Her GB has the following measurements: TRV width: 2.71 cm, wall thickness 1.57 mm, and length 9 cm. The patient did not have a sonographic Murphy's sign... Ta ke the Case
    Posted to EMsono Cases by Rob on 13 Apr 2009
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  • Case 113

    45-year-old female presents with RUQ abdominal pain. Her vital signs are stable and she is afebrile. Her abdominal exam is only signficant for midepigastric and RUQ abdominal pain. Her labs reveal a WBC count-- 6.5. Her amylase, lipase and hepatic panel are normal. You perform a GB ultrasound and note...
    Posted to EMsono Cases by Rob on 19 Feb 2009
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  • Case 107

    43-year-old female presents with RUQ pain. She is afebrile and has stable vital signs. Her exam is unremarkable except for RUQ tenderness. You perform an ultrasound and note the following ... Take the Case
    Posted to EMsono Cases by Rob on 2 Jan 2009
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  • Case 100

    18-year-old Hispanic female presents with RUQ abdominal pain of two days duration. Her vital signs are stable and she is afebrile. She is jaundiced . Her labs reveal elevation of her transaminases, total/direct bilirubin, and alkaline phosphatase. Her PMH is only significant for her being 4 months postpartum...
    Posted to EMsono Cases by Rob on 2 Nov 2008
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  • Case 96

    42-year-old female presents with RUQ abdominal pain. She has no PMH. Her vitals are stable and she is afebrile. She is not jaundiced and her ED “belly” labs are normal. Due to concern for acute biliary disease, you perform a GB exam ... Take the Case
    Posted to EMsono Cases by Rob on 6 Oct 2008
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  • 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 ... Take the Case
    Posted to EMsono Cases by Rob on 9 Jun 2008
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  • 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 nontoxic and has stable vital signs. Her physical...
    Posted to EMsono Challenges by Rob on 25 Mar 2008
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  • September 2007 Challenge

    A 64-year-old female visiting from Jordan develops RUQ abdominal pain and jaundice. You are asked to perform a focused ultrasound of the gallbladder to assess for ac ute gallbladder disease. The patient's vitals are stable and her abdominal exam reveals RUQ tenderness but no organomegaly. You perform...
    Posted to EMsono Challenges by Rob on 30 Sep 2007
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  • Case 7

    A 34-year-old female presents with RUQ / midepigastric abdominal pain after eating dinner. She denies history of chronic abdominal problems but states this pain has been recurring with increasing frequency lately and seems to be related to eating. Her vitals are stable and her examination is only remarkable...
    Posted to EMsono Cases by Rob on 12 Dec 2006
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