Workshops
POINT OF CARE ULTRASOUND EFAST, AAA, DVT, Early Pregnancy, ECHO, Renal, Biliary, Vascular procedures
OUR TEAM
James Dent
Geneviève Carbonatto
jayashanki ashanki Perera
Dr Nick Sidler
Our stories
Latest news
Intussusception – The doughnut sign or target sign, the pseudokidney sign
Images and text by Genevieve Carbonatto Case history A 42 year old man presented to the Emergency department at 4.00 am with a history of sudden onset central abdominal pain since 2.00 am. The pain was constant, in fact, it was getting worse. It was not associated with vomiting. He had opened his bowels 4 times Read more about Intussusception – The doughnut sign or target sign, the pseudokidney sign[…]
Aortic endoleaks
Images and text by Genevieve Carbonatto An 85 year old presented to our Emergency Department with light headedness fatigue and SOB. BP 90 systolic on arrival, HR 100/min Bloods: haemoglobin of 78g/l, creatinine of 172micromol/l and urea of 13.9mmol/l. Haemoglobin 3 weeks prior to admission 90g/l. Past history of AAA endovascular repair 4 years ago, history Read more about Aortic endoleaks[…]
TB cardiomyopathy – All done and dusted?
Ultrasound Images and text by Genevieve Carbonatto Case History A 60 year old man presented to ED with a one day history of severe SOB on the background of a 2 month history of increasing SOB. He was so breathless that it was an effort to walk 3 to 4 metres. He had recently returned from Read more about TB cardiomyopathy – All done and dusted?[…]
Gallstones in 4 month old
Images and text by Genevieve Carbonatto and Jeremy Fry Name changed to protect patient confidentiality. Sam was 4 months old when he was brought by his parents to the ED. He presented with acute onset of crying and distress which awoke him from sleep. He was grunting and drawing his knees up to his chest. He Read more about Gallstones in 4 month old[…]
Bicuspid Aortic valve
Images by Genevieve Carbonatto A young 23 year old man presents to the Emergency Department with chest pain. A point of care ECHO is performed. An incidental finding of a bicuspid aortic valve is found. Parasternal long axis of left ventricle (PLAX) showing that the aortic valve closure is eccentric. It closes more towards the right Read more about Bicuspid Aortic valve[…]
Cardiomyopathy
Images by Genevieve Carbonatto Parasternal long axis of the left ventricle, (PLAX) demonstrating dilated LV, right ventricle, (RV) and left atrium, (LA). LV contractility in this view is moderate to severely impaired with some preservation of the IVS motion. Measurement of internal diameter of LV at end diastole. Parasternal long axis view of LV with Read more about Cardiomyopathy[…]
Chronic pulmonary hypertension
Images by Genevieve Carbonatto Parasternal long axis, (PLAX) of the left ventricle with the probe tilted slightly towards the right hip showing a dilated right ventricle, (RV). There is elongation and thickening of the anterior mitral valve leaflet. Parasternal long axis, (PLAX) of the left ventricle with the probe tilted slightly towards the right hip with Read more about Chronic pulmonary hypertension[…]
Amyloidosis
Images Genevieve Carbonatto Parasternal long axis (PLAX) of the left ventricle demonstrating asymmetric septal hypertrophy, compare the thickness of the interventricular septum, (IVS) in diastole with the infero-lateral (posterior) LV wall. The IVS / LVPW > 1.3 : 1. The LV cavity almost completely obliterates, “kissing walls” suggesting hypovolaemia. The left atrium, (LA) is Read more about Amyloidosis[…]
Large pericardial effusion
Images by Genevieve Carbonatto PLAX view. Very large pericardial effusion. Heart “swinging” in fluid Size should be measured at the end of diastole. To be accurate this should be done using the ECG for timing. Practically speaking the exact size of the effusion is not important. This effusion is circumferential and is over 2cm in Read more about Large pericardial effusion[…]
Pericardial effusion and metastasis
Images by Genevieve Carbonatto Parasternal Long axis (PLAX) of the left ventricle demonstrating a large circumferential pericardial effusion, (passes anterior to the descending thoracic aorta). Note the RV anterior wall appears as though it may be collapsing in early diastole when RV pressure is at its lowest. Has the appearance of someone jumping on a trampoline. Read more about Pericardial effusion and metastasis[…]