28F presents with two months of intermittent fevers and a new murmur. You suspect infective endocarditis. With this subacute presentation, how many blood cultures should you order? How far apart? What empiric antibiotics are indica…
Sweep through large AAA from Sinai EM Ultrasound on Vimeo. Abdominal aortic aneurysm (AAA) affects 5-10% of males age 65-79, and among males over 55 years of age represents the 14th leading cause of death. Ruptured aortic aneurysm is associ…
Thanks to A.Hill for today’s pearl: 19M presents with fever and rash on palms and soles x1 week. Vitals: Temp 101 HR 105 BP 130/80 RR 12 O2 100% What is the differential for rash on the palms and soles? Disseminated gonococcus Rocky m…
A patient presents after an episode of syncope vs seizure. Can a serum prolactin level be helpful in differentiating the cause?
Thanks to PEM fellow Brittany for today’s cases. A 1 week old presents with cyanosis and sweating with feeds. No history of fever, preceding illness. O2 sat is 85%. Child is placed on 100% O2 but O2 sat does not improve. What are some…
23yo M presents with 2 days of substernal CP associated with fevers and dizziness, he called EMS for a near syncopal episode today. His triage vitals: Temp: 102.1 HR: 105 HR: 126/64 RR: 18 O2: 99% RA Exam: unremarkable exam: no murmurs/rub…
A 20yo M is BIBEMS after falling from a scaffold at a construction site. He has signs of head trauma. Upon arrival his VS are: T=98.9 HR=75 BP=185/90 RR=12 o2 Sat=99% on NRB His neuro exam: PERRL, moving all extremities eyes open to pain m…
The first three pearls from this week did not go out via email, although they are on sinaiem.org Today’s pearl: A 45F presents with 3 weeks of CP. Her vitals: Temp 36.8C HR 71 BP 95/65 RR 18 O2 98% RA Her exam is unrema…
In early May, emergency ultrasound fellow Leila PoSaw and two Mount Sinai senior Emergency Medicine residents on the ultrasound track, Swathi Nadindla and Micah Nite, traveled to Haiti for an ultrasound education project. This projec…
We are very pleased to welcome the newest member of the Mount Sinai Emergency Ultrasound Division, Dr. Jennifer Huang! Dr. Huang completed her residency training at Highland Hospital in Oakland, California and an emergency ultrasound fellow…
The inaugural SonoGames were held at the SAEM Scientific Assembly in Chicago this week. Thirty-eight residency programs were represented at the event, organized by Resa Lewiss and SAEM’s Academy of Emergency Ultrasound. Three rounds s…
Arcuate vessels are commonly seen on ultrasound evaluation of the uterus. Occasionally they can be confused with subchorionic hemorrhage, ovaries, and other structures so it’s worth looking at their characteristic appearance. Once aga…
Rounding out our recent trifecta of biosafety posts is a description of cavitation. Cavitation is the formation of microbubbles in liquid which has been subjected to rapid pressure changes. This can happen from a variety of causes from beat…
What does the MI on the sidebar of the ultrasound machine screen stand for? The Mechanical Index is a safety metric which lets the operator know how much energy is being transmitted into the patient during sonography. Remember that sound is…
What does the TI on the sidebar of the ultrasound display stand for? Thermal Index (TI) is a biosafety metric used to describe the potential of the ultrasound beam to raise temperature in the path of the beam. It is the ratio of the power u…
