Biliary Obstruction: Double Barrel sign, Monkey Puzzle sign

Images and text Genevieve Carbonatto A 73 year old man presents to the emergency department jaundiced. He says he has not been feeling unwell but that over  the past 4 days  the white of his eyes have turned yellow as well as the skin of his face. His urine turned very yellow 4 days ago Read more about Biliary Obstruction: Double Barrel sign, Monkey Puzzle sign[…]

ECHO : image optimisation

Images and text Genevieve Carbonatto The most difficult and frustrating ultrasound examination in the Emergency department must be the ECHO exam. What can we do to optimise our images ? Here are some tips and tricks. 1. Positioning the patient Some of our patients in the Emergency Department cannot be moved because of body habitus Read more about ECHO : image optimisation[…]

Normal gut ultrasound

Images and text Genevieve Carbonatto. I would like to thank the IBUS group , in no particular order, Torsten Kucharzik, Christian Masser,Giovanni Maconi, Frauke Petersen, Kim Nylund, Ruediger Goertz, Emma Calbrese, Anil Kumar Asthana, Kerri Kovak, Rune Wilkens and Stefania Carmagnola for their fantastic course on gut ultrasound which has spurred the following post and Read more about Normal gut ultrasound[…]

Crohn’s disease – Bowel obstuction

Images and text Genevieve Carbonatto. A 48 year old man presents to the Emergency  department with severe abdominal pain. He has Crohn’s disease and frequently presents with abdominal pain. He has had a previous entero-enteric anastomosis.  He is also self employed and hard working and always waits until his pain is unbearable before he presents Read more about Crohn’s disease – Bowel obstuction[…]

Intussusception: Left upper quadrant mass

Images Genevieve Carbonatto, text Genevieve Carbonatto An 80 year old lady presents to the Emergency Department with a 4 month history of feeling unwell on and off  associated with a  4 kg weight loss during that time. She presented acutely because  the night before she developed mild abdominal pain and vomiting.  She has been investigated Read more about Intussusception: Left upper quadrant mass[…]

Twins, 2 gestational sacs, 10 weeks

Images Genevieve Carbonatto A 10 week pregnant lady presents with PV spotting. On ultrasound 2 gestational sacs are present indicating heterozygous twins. This lady had had no previous scans. Each  gestational sac contains a viable fetus with an active heart beat. Longitudinal scan through uterus Fetal heart beat visible twin 1 Fetal heart beat visible Read more about Twins, 2 gestational sacs, 10 weeks[…]