Happy New Year!

Thanks to Dr. Fleischman for this interesting case   62 year old woman with obesity, htn, hld, copd presents with sudden onset left upper quadrant pain, painful respiration. No f,n/v/d. Patient is noted to be in pain, tachycardic, normotensive, and eupoxic. Patient refuses to lie on side for exam 2/2 pain, lung sounds difficult toRead more

Case- Abdominal pain

Patient with history of hypertension presents periumbilical abdominal pain radiating to the back. Minimal abdominal tenderness, no rebound or guarding, though  a pulsatile mass is felt. The following ultrasound is obtained: As the title suggests, the patient was diagnosed with an abdominal aortic aneurysm and vascular surgery was consulted. We’re experimenting a bit withRead more

Back to the Source

With the proliferation of online educational modalities (blogs, educational websites, podcasts, twitter feeds) designed for rapid dissemination and translation of our basic Ultrasound knowledge to the bedsides around the globe, we must occasionally go back to the source – The Scientific Journal. Listed below are several ultrasound-specific journals. Journal of Ultrasound in Medicine Cardiovascular UltrasoundRead more

What The Heck 1

This patient presented with right upper quadrant abdominal pain. There was RUQ tenderness on exam, but no fever, rebound or Murphy sign. A point-of-care ultrasound was performed to assess for signs of cholecystitis and the following image was obtained. This prompted the operator to ask, “What the heck?” What structures are visible here? How couldRead more

Pearl 12/28

18 y.o. male h/o asthma presenting with chest pain this AM. Pain was substernal, crushing with intermittent sharpness, and has been waxing and waning all day. CP is pleuritic, not positional. Also reports some malaise, decreased appetite, nausea, and headache for the last 3 days. VS wnl, NAD, no murmurs on exam.   EKG:  Read more

AAMC article

The Association of American Medical Colleges (AAMC) has written an article about ultrasound education at the medical school level. In the current edition of their widely distributed publication The Reporter, they describe programs at the University of South Carolina School of Medicine, University of California (Irvine) School of Medicine, and the Mount Sinai School ofRead more

Pearl 12/27

A 32-year-old man presented, complaining of a painful erection for the last 18 hours. His medical history was significant for sickle cell disease,  insomnia and depression, for which he was taking quetiapine, bupropion, and prazosin. Examination revealed a mildly tender, fully erect penis and a soft glans. He was given 0.25 mg of subcutaneous terbutaline,Read more

Ultrasound Zen

To image something which moves, you must remain still. To image something which is still, you must move. If you think on this long enough, the point is self-evident and requires no explanation. Or, just see some examples below. We are pretty well adapted to seeing three dimensions at a time. Thus when imaging aRead more

A Clarification and a Correction

SVC Syndrome Clarification Dr. Genes pointed out that while likely still the most common etiology of SVCS is cancer, the emerging etiology is Pacemaker implantation/extraction.   I didn’t find evidence that it is the clear cut most common cause, but it is possible we are heading that way. Herscovici R, Szyper-Kravitz M, Altman A, EshetRead more

Influenza on the Rise

25 year old F with no pmh present with 3 days of fever, chills, body aches, sore throat. She is a school teacher and has had many of her kids out sick this week. Her vitals are stable, and she is in no acute distress. She is triaged to the B side at Sinai.  Read more