Although we tend to suspect torsion only in cases where there is ovarian enlargement, cyst, etc., there are a number of studies that show these are not reliable (sensitive or specific) indicators of torsion. Radiology reports often seem to…
An elderly person p/w R-knee pain after stepping off the curb a few days ago. There is mild swelling and the patient does not like to bear weight on the extremity. You order a plain film of the knee and it looks okay. When you present to y…
You are caring for a 7mo child who is not moving the LUE; a plain film shows a fracture. Child maltreatment is high on your differential. You want to order a skeletal survey and your medical student wants to know precisely what you’re…
A middle aged man presents complaining of foreign body sensation in his eye, subjective fever, pain with spontaneous eye opening and ipsilateral ear pain. On exam, you don’t see any foreign bodies, but you do note multiple corneal infiltrat…
28 y.o. male felt his left knee “pop” after landing from a jump while playing basketball. Knee exam revealed limited knee extension. X-ray is shown in the link below. Diagnosis? https://…
A 53yoM presents with bilateral TMJ dislocation which he has had in the past. He receives procedural sedation and multiple attempts at reduction using conventional methods with no success. What can be done now?
A 60yoM h/o A-Fib on Dabigatran, took his medication this morning and then slipped in the shower 10 mins later, hitting his head with +LOC. He did not want to come to the emergency room at first but approximately 14 hours later, complains o…
Inspired by Tali Porat’s M&M What is the most consistant ultrasound finding in an ovarian torsion? . . . Answer: Unilateral ovarian enlargement (>4cm). Up to 73% of these has a complex adnexal or pelvoabdominal mass, which can…
A 79yoM with history of CAD s/p PCI/CABG years ago, Parkinson Disease presents with chest pain. ECG is shown below. Your ECG machine is not malfunctioning, the tech has not made a mistake, and the patient is laying calmly (no shivering or t…
A 25 year old male presents with severe asthma exacerbation requiring intubation. His blood work and chest xray are unremarkable. You place the patient on a propofol drip but he fights the vent and requires increasingly high doses. The pati…
The Mount Sinai Department of Emergency Medicine hosted its annual ultrasound CME conference held on March 22 at the Stern Auditorium. Faculty, fellows and PAs from a number of institutions took part in our eighth annual conference. The c…
The AIUM recently announced a initiative to increase awareness of ultrasound as the first imaging modality to be considered when radiation exposure and cost are factors. If you are a fan of the Image Gently campaign from the Alliance fo…
April 1, 2012: Researchers presented exciting new data on the use of extremely low-frequency ultrasound for the bedside diagnosis of a wide range of pathology. “We’re very excited by the technique,” remarked Bret Nelson as…
A 50yoM with h/o MI >5 years ago presents with a heart rate of 150, only complaining of palpitations, and otherwise normal vital signs. States he was told he had some type of arrhythmia in the past with similar symptoms, and was given a…
This year AIUM is hosting its annual conference at the JW Marriott Desert Ridge Resort and Spa in Phoenix, AZ. The first offering by the Emergency and Critical Care Community of Practice was a great success. The conference proper hasn…
