Thoracic sonography is one of the most rapidly growing areas of emergency and critical care ultrasound. One very important emerging indication is to assess for lung consolidation. The characteristic appearance of consolidated lung is very s…
My patient needs a tetanus shot — what kind do I give??
70yoM with headache and R temporal artery tenderness.
What’s abnormal in this image? Here’s a hint.  Here is an example of normal. When evaluating for possible elevation in intracranial pressure, it has been shown that optic nerve sheath diameter (ONSD) measureme…
It truly is the year of ultrasound — and it isn’t even 2013 yet.  Groundbreaking article on lung ultrasound by our Jim Tsung who found point of care ultrasound to be 86% sensitive and 89% specific in detecting pneumonia up to…
This core didactic session recap is devoted to renal ultrasound. Point-of-care ultrasound uses focused clinical questions to guide management, and our didactic session use focused clinical questions to guide discussions of key literature. D…
Bonus Pearl – For the previously missed one… 70 y/o M presents with flashing lights and floaters in R eye. He also notes decreased vision in the same eye. R eye is painless and not TTP. No swelling noted. Visual acuity is…
The toxidrome of which hypertensive medication can be confused with opioid overdose?
Were looking forward to the first citywide critical care ultrasound meeting. The idea for this gathering grew out of discussions between ED and ICU folks interested in critical care ultrasound who wanted to share experiences, interesting ca…
We already know it is helpful to use ultrasound to guide placement of central venous catheters. How can we use ultrasound to help confirm proper placement of an internal jugular catheter? There are several methods which have been describe…
38yoF with hypothyroidism prevents with drowsiness, palpitations and tremors. Pt with fever to 38C, Hr to 120.
Board review: fractures/dislocations and associated nerve injuries: Acetabular fracture – sciatic nerve Anterior shoulder dislocation – axillary and musculocutaneous nerve Humerus – radial nerve Elbow dislocation – ulnar or median nerve Ole…
20 y/o M with PMHx of acne presents with severe HA. Feels as though HA is behind eyes. Family says that he’s been taking some new medicine for acne. Labs notable for abnormal lfts and elevated calcium. HCT was negative and lumbar…
A 4 year old boy presents with the above findings. What is it and how do you treat it?