Intussusception in a 6 year old

Intussusception in a 6 year old

Images and text Genevieve Carbonatto A 6 year old girl presents to the Emergency department with dysuria and abdominal pain. The symptoms where intermittent until the morning of the presentation when the symptoms were constant and also associated with a left sided limp. She was unwilling to weight bear on her left leg. She had Read more about Intussusception in a 6 year old[…]

Pitfall: Ruptured cornual ectopic pregnancy

Pitfall: Ruptured cornual ectopic pregnancy

Images Nick Sidler, text Genevieve Carbonatto A 32 year old woman presents to the ED with her husband and 5.00 am. The woman is clearly unwell. She is directed straight to the resuscitation bay. Her husband tells you that shortly before 4.00 am she awoke with severe acute abdominal pain. He says she is pregnant Read more about Pitfall: Ruptured cornual ectopic pregnancy[…]

Bacterial endocarditis : Tricuspid valve

Bacterial endocarditis : Tricuspid valve

Images Sarah Vaughan, Text Genevieve Carbonatto A BAT call arrives. A 42 year old man recently discharged against medical advice from hospital is coming acutely short of breath (SOB). 2 weeks prior  he self discharged despite acute liver failure from hepatitis C and positive blood cultures for strep mitis. He had been on benzylpenicillin and Read more about Bacterial endocarditis : Tricuspid valve[…]

Trauma : knife through chest

Trauma : knife through chest

Ultrasound images and text Genevieve Carbonatto A 33  year old man presents to the Emergency Department after having stabbed himself in the chest as a suicide attempt. The knife is still in the chest close to and to the left of the sternum  in the 5th intercostal space. He is alert and orientated, he says Read more about Trauma : knife through chest[…]

Pericardial Tamponade

Pericardial Tamponade

Images : Sarah Vaughan, text Genevieve Carbonatto A 56 year old man presents to the Emergency department short of breath and unwell. He gives a history of 2 hours of shortness of breath and chest pain. He has been recently diagnosed with metastatic adenocarcinoma. These are his vital signs He is hypotensive, his BP arterial Read more about Pericardial Tamponade[…]

Oesophageal intubation : Double tract sign

Oesophageal intubation : Double tract sign

Images and Text Genevieve Carbonatto Tracheal intubation Ultrasound can be used as an adjunct to directly visualising endotracheal tube placement. The linear probe is placed in the transverse position with the index marker pointing to the right on the neck above the sternal notch. The structures are identified. These include the trachea and the oeseophagus. Read more about Oesophageal intubation : Double tract sign[…]

Question 1 : Compare Testicular Torsion, Epididymo-orchitis and Epididymitis

Question 1  Describe symptoms, historical features and US findings in • Testicular torsion • Epididymoorchitis , epididymitis Ultrasound is an essential tool in differentiating between the different causes of testicular pain however ultrasound alone cannot exclude torsion. Initially ultrasound findings in testicular torsion may be unremarkable and then become heterogeneous or diffusely hypo-echoic, mimicking epididymo-orchitis both Read more about Question 1 : Compare Testicular Torsion, Epididymo-orchitis and Epididymitis[…]

Question 2: Trauma to testes

Question  2 Cricket ball to groin in young adult. Describe how you would perform scrotal US on this patient and your possible findings Performing scrotal US in the context of trauma • Private area • Chaperone • Analgesia • Gloved hand • Patient supine • Ample gel and warm if possible • Place towel beneath Read more about Question 2: Trauma to testes[…]

Question 3 : Tender groin and palpable mass

Question 3 :  A 30 year old man presents with a tender groin and palpable mass • List the DD (5 marks) • Describe the E Physician sonographic approach to this problem (10 marks) Differential diagnosis: Inguinal hernia direct or indirect Femoral hernia Lymph node Varicocoele Hydrocoele Femoral artery aneurysm Tumour  of spermatic cord or Read more about Question 3 : Tender groin and palpable mass[…]