Case 2 FELS Right heart failure

Dr Chris Harrington (FACEM)  presents 2 cases for this month.  Both demonstrate the importance of ECHO in the context of the deteriorating patient with heart failure. Case 1 A 48F is referred to the Emergency department by her cardiologist with exacerbation of right heart failure and rapid AF PHx aortic valve repair (for congenital aortic Read more about Case 2 FELS Right heart failure[…]

Case 1: Focussed Echo in Life Support(FELS)

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[…]

Biliary 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[…]

Aorta 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[…]