Intracranial Hemorrhage

Nontraumatic intracerebral hemorrhage (ICH) is bleeding into the parenchyma of the brain that may extend into the ventricles and subarachnoid space.  The consequences of ICH can be devastating.  Although current practices vary, there are se…

ATLS 9th Edition

The 9th Edition of Advanced Trauma Life Support(ATLS) has incorporated some important changes, one of which directly impacts the world of point-of-care ultrasound. There is increased emphasis on the FAST examination, and Diagnostic Peritone…

Presentations-slide sorter view

We mostly focus on ultrasound here, but a large part of what we do is information exchange, adult education, and the like. We give a lot of presentations, and many of our faculty are interested in the art of speaking, the aesthetics of pres…

October 2012

October is Medical Ultrasound Awareness Month! Medical Ultrasound Awareness Month is a joint effort of the American Institute of Ultrasound in Medicine (AIUM), American Registry for Diagnostic Medical Sonography (ARDMS), the American Societ…

Ultrasound education at MSSM

The Mount Sinai School of Medicine recently welcomed its incoming first-year class in its traditional White Coat Ceremony. In a day filled with inspirational talks by prominent faculty and medical leaders, students don their new white coats…

Case Report

  CASE:  38 y/o female marathon runner with 2 weeks of gradual onset of diffuse, progressively worsening, sharp, midthoracic, right paraspinal back pain. She reported occasional subjective fevers, but no pleuritic chest pain, bowel/bla…

The number of lung transplant recipients is increasing.  With improved immunosuppressant medications, pts are living longer.  The 5-yr survival rate is now approximately 60%. When evaluating a lung transplant pt who is < 1 yr following t…

Straight Suture Safety

Hopefully you are using ultrasound to guide your insertion of central venous catheters. Once they are in, you still have to suture them at some point. Straight suture needles are often used to secure arterial and venous catheters to the ski…

PEARL Oct 2nd What are the features of innocent vs pathologic heart murmurs in children?  What are the following murmurs, and what are their causes: Still’s murmur, physiologic systolic ejection murmur, supraclavicular arterial bruit, neona…

Pearl October 1st

You are discussing the risk of intracranial hemorrhage with tPA administration with a patient and her family: 79 y/o Asian female NIH stroke scale of 7 Systolic BP of 140 Blood glucose < 100 What is her risk of symptomatic intracranial h…

Gallbladder wall thickening

The normal gallbladder wall should measure less than 3-4mm. It is recommended that this measurement be taken through the anterior wall of the gallbladder, since posterior acoustic enhancement will often make posterior measurements inaccurat…

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