Images and text Genevieve Carbonatto History: A young 32 year old lady presents to the Emergency Department SOB (short of breath). She is 4 weeks postpartum and was well during her pregnancy. She did not suffer from pre eclampsia during or just after her pregnancy. The baby was born by Caesarian section. She descibes being Read more about Cardiomyopathy – Postpartum Shortness of Breath[…]
Ultrasound images and text Genevieve Carbonatto. Featured image: Oceanographic museum Monaco. A 45 year old man presents to the Emergency Department with a 6-month history of feeling generally unwell with fevers and a chronic cough. He is no longer able to cope at home. On arrival he is saturating 90% on RA (room air), his Read more about Empyema[…]
Images Genevieve Carbonatto. Text Genevieve Carbonatto A young man presents to the Emergency Department with SOB (shortness of breath). He has been sent in by his flatmates because he is so unwell. They leave as soon as he presents to triage. He is an intravenous drug abuser, but says he hasn’t taken anything for 2 Read more about Bacterial Endocarditis – Aortic valve[…]
Text and images Genevieve Carbonatto There is a BAT call. A young 35 year old has fallen from a 3 story building and essentially landed on his feet. He has extensive leg injuries and possible chest and abdominal injuries. BP 95/60 HR 110/min RR 25/min Saturating 96% on RA. The trauma team is called. The Read more about FAST – Focus on the RUQ – False +ve[…]
Images and text Genevieve Carbonatto PV bleeding in early pregnancy is common. This is probably one of our most common presentations to the emergency department. Transabdominal ultrasound is less sensitive in the first trimester pregnancy than transvaginal ultrasound. Seeing a fetal heart beat confirms fetal viability. It is important to record this using M mode. Read more about Early Pregnancy Fetal Heart Beat – Now you see it, now you don’t[…]
Ultrasound images Sanjay Ramrakha. Text Genevieve Carbonatto and Katherine Bennett The Emergency department gets a pre arrival call from a GP. He is sending in a sick looking 10 year old who has been vomiting overnight. He thinks this may be gastro On arrival a pale, mottled, barely responsive child is wheeled into the resuscitation Read more about Internal hernia[…]
ECHO images Tina Cullen. Text Genevieve Carbonatto A 65 year old lady presented to the Emergency department with a 6 month history of abdominal pain. The pain was vague and mainly located in her pelvis but at times was epigastric. A bedside point of care ultrasound was performed. This was the ultrasound of her proximal aorta in Read more about Discovering the aorta through ultrasound[…]
Images Genevieve Carbonatto This gentleman presented septic to our department. He had a history of chronic renal failure requiring dyalisis. BP 88/60, HR 90/min. An ECHO was done in the ED to find a possible cardiac cause, other than hypovolaemia from sepsis, for his hypotension Watch the clip below. Watch the mitral valve. Then watch Read more about Systolic anterior motion SAM[…]
Echo images Tina Cullen, text Genevieve Carbonatto The Emergency phone rings directly from the paramedics. They have a 59 year old woman with acute onset chest pain. BP 75/40, diaphoretic. HR 110/min in atrial fibrillation. She has a past history of hypertension. The ECG is faxed through Widespead ST depression and T wave inversion Read more about Shock – Left Ventricular Outflow Obstruction[…]
Images Genevieve Carbonatto A 13 week pregnant woman presents to the Emergency department having had 7 hours of PV bleeding with clots and lower abdominal back pain. A point of care ultrasound shows an empty uterus and an open os filled with mixed echogenicity which is clot. This is a missed miscarriage