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Case of the Week - 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 peform a GB exam. Take the Case

Posted to Cases (Weblog) by Rob on 10-06-2008
September 2008 Challenge

68-year-old male presents with acute dyspnea. He has not sought care since moving to town several years ago. He relates a history of prior MI and heart failure. He is not taking any meds currently. You perform a focused ultrasound in order to assess LV function... Take the Challenge

Posted to EMsono Challenge (Weblog) by Rob on 09-30-2008
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...

Posted to Cases (Weblog) by Rob on 09-29-2008
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... Take the Case

Posted to Cases (Weblog) by Rob on 09-08-2008
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...

Posted to Cases (Weblog) by Rob on 08-25-2008
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… Take the Case

Posted to Cases (Weblog) by Rob on 08-18-2008
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)... Take the Case

Posted to Cases (Weblog) by Rob on 08-03-2008
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): Take the Case

Posted to Cases (Weblog) by Rob on 07-28-2008
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 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...

Posted to Cases (Weblog) by Rob on 07-07-2008
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... Take the Case

Posted to Cases (Weblog) by Rob on 06-30-2008

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