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 Case 5: 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 Case 4 Ectopic pregnancy[…]
CASE 1 (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 Read more about Case 1: 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[…]
Questions Robyn Boman/Genevieve Carbonatto 1. What is the sonographic appearance of adenomyomatosis? 2. What is the normal thickness of the gallbladder and what are some causes of GB wall thickening? 3. Describe the sonographic appearance of sludge in the gallbladder and the differential diagnoses. 4. Describe the appearance of a fatty liver optimisation of an Read more about Biliary Quiz[…]
Questions Robyn Boman/Genevieve Carbonatto What is the normal heart rate range for 1st trimester pregnancy at 6 weeks, 9 weeks and after 9 weeks and how would you measure it? 2. Discuss the reasons for not using colour Doppler or power Doppler in the 1st trimester. 3. Describe the sonographic appearance of a subchorionic haemorrhage Read more about 1st trimester Quiz[…]
All answers are directly from the article Jan 20, 2015 – Recommendations for echocardiographic chamber quantification were last published in 2005 by the American Society of. Echocardiography 1.How do you measure the LVOT diameter or aortic annulus ? 2. How do you measure the aortic root? 3. What determines the size of the aortic root? Read more about Aorta Quiz[…]