This month I thought it might be good to review the basics of assessment of LV function. This is a PLAX. What are the 3 ways you would assess systolic LVF in this patient? To help you with this, compare the clip with the PLAX of a patient with normal LV function below. Look at Read more about 8. Case of the month: Assessment of LV function[…]
(Case and images courtesy of Dr Ed Brentnall ultrasound reg, text Jay Perera, Genevieve Carbonatto) Triage: -3.06pm on Wednesday afternoon -Cat 3 to acute bed. 2/52 of worsening SOB on exertion +dry cough. Postural drop with CDA. -Observations: BP 116/65, HR 80, RR 24, sats 96% on room air, temp 35.9C History -2/52 exertional dyspnoea Read more about 7. Case of the month: FELS (focused ECHO in life support) in patient with dyspnea[…]
Images and case Danielle Martinez An 89 year old lady presented to hospital with severe abdominal pain and collapse on a background of a known AAA. On arrival, she was hypotensive and pale with a reduced level of consciousness. A Point of Care Ultrasound was performed. A shows a transverse view through the mid aorta. B Read more about 6. Case of the month: AAA[…]
Images Dr Ed Brentnall. History: A 22 year old man presents to ED with 1 week of a sore throat, a mild productive cough, fevers and rigors for 8 hours. On examination : temperature 39.6, HR 143/min, RR 28/min, BP 133/60, Sats 98% on RA Bloods were ordered. His WCC was 11.3, his CRP 1.5 Read more about 5. Case of the month: Pneumonia[…]
Images Micky Fiorentino Triage: A 46 year old lady presented to the Emergency department after being referred by the early pregnancy assessment clinic for an ectopic pregnancy and admission under O and G. She is 11 weeks pregnant. It is an IVF pregnancy. She is hemodynamically stable and is not complaining of abdominal pain. This is Read more about 4. Case of the month: Ectopic pregnancy[…]
(Case and images courtesy of Jay Perera, text Jay Perera and Genevieve Carbonatto) Triage: 30F presents with 2/7 of worsening palpitations, worse post Salbutamol. She has a history of PTSD and anxiety. HR 78 regular. Further history: 3 years of fatigue and lethargy Complains of intermittent palpitations and dyspnoea. Trialled on Salbutamol by her GP Read more about 1. Case of the month: Focussed Echo in Life Support(FELS)[…]
Images James Dent An 80 year old had an unsuccessful cannulation for a CT scan. 4 days later she presented with bruising and tenderness of the left antecubital fossa and a palpable pulsating mass. This is the US of the area B mode sonography shows a large pseudoaneurysm . The aneurysm is connected to the Read more about Pseudoaneurysm[…]
The EFAST examination is easily achieved in most circumstances. Name 4 clinical situations which may limit the feasibility of the EFAST exam 2. There are some technical difficulties with the FAST exam. Most clinicians have little difficulty in locating Morison’s pouch but have greater difficulty in locating the spleen. What is the main cause of Read more about EFAST quiz[…]
Question 1 The “classic” presentation of a ruptured AAA is the triad of abdominal back or flank pain , a palpable abdominal aorta and hypotension. What percentage of patients present with this triad? Question 2 Where are the vast majority of abdominal aneurysms found? Name 2 shapes of aortic aneurysms. 3. Most patients who present Read more about AAA quiz[…]
1.The kidneys may be difficult to image because of their proximity to the ribs and to air in the bowel. What can you do to optimise scanning? 2. What are the sonographic characteristics of the normal kidney? 3. How is hydronephrosis classified? 4. What are 2 causes of physiologic hydronephrosis? 5. What are 5 criteria Read more about Renal quiz[…]