Text Genevieve Carbonatto The management of cardiac arrest has been intensively studied over the past 20 year and other than early and good quality CPR and early defibrillation in VF, very little has shown to improve the prognosis in cardiac arrest. The last 20 years has shown that high dose adrenaline, vasopressin, supplementary oxygen, treatment Read more about Echocardiography during cardiac arrest: COACHRED[…]
Images Juan Chiang A 13 year old girl presents to the Emergency Department after a syncopal event at school. This was not associated with prior chest pain or SOB. This is her first syncopal event. ECG Chest Xray A point of care ultrasound is performed. The following clip shows her PLAX view followed by Read more about Pulmonary hypertension in a child[…]
Images Hanaho Imamura, text Genevieve Carbonatto A 3 month old girl is brought into the Emergency department. Her parents state that she has become more unsettled recently, not feeding as well and appearing to be more short of breath with feeding. She is not settling with feeding, requiring to be fed every 2 hours and Read more about VSD in a 3 month old[…]
Images Chris Harrington, text Genevieve Carbonatto A 11 day old presents to the Emergency department in acute respiratory distress. His mother states that his SOB has increased markedly over the past 24 hours. While on the way to hospital he has an episode of tachypnea cyanosis and not breathing for 5 seconds. He has been Read more about Coarctation of the aorta in a neonate[…]
Images Earl Butler, text Genevieve Carbonatto A 55 year old lady presents with acute numbness to her right leg and “dizziness” lasting a few hours. No back pain. No chest pain. There are no other neurological symptoms. BP 175/85 HR 72/min, RR 16/min saturations 96% on room air. Because of the numbness in her leg Read more about Stanford type B dissection[…]
Images Earl Butler, text Genevieve Carbonatto A 55 year old lady presents with acute numbness to her right leg and “dizziness” lasting a few hours. No back pain. No chest pain. There are no other neurological symptoms. BP 175/85 HR 72/min, RR 16/min saturations 96% on room air. Because of the numbness in her leg Read more about 10. Case of the month: Stanford type B dissection[…]
Images Nick Stewart, text Genevieve Carbonatto A 50 year old man presents to the ED with a 6 week history of general malaise, fevers, night sweats and weight loss (10 kg). He had been prescribed 7 courses of Augmentin by his GP and felt generally better on this antibiotic. An outpatient CT showed some nodes Read more about Bacterial endocarditis : Mitral valve[…]
Possible Differential diagnoses include Appendicitis Terminal ileitis Intussusception Crohn’s disease Abscesses Mesenteric adenitis Diverticulitis Caecal carcinoma Infectious colitis Hernias (inguinal/femoral/surgical/ventral) Vascular causes (AAA/ iliac aneurysms) Testicular (tortion/ epididimitis) Gyne/obstetric (ectopic, hydrosalpinx/ovarian cyst rupture/ endometriosis) Biliary colic Renal colic, UTI Psoas abscess Herpes Zoster Ascites/ free fluid/ pancreatitis US technique Examine the patient first in the Read more about Question 1 : A patient presents with RIF pain. Discuss the ultrasound technique for this complaint and US findings of appendicitis and Crohn’s disease[…]
Images and Text Genevieve Carbonatto A 45 year old man presents with a 3 day history of diarrhea and increasing LIF pain. He is afebrile. His diarrhea has tapered off. On examination he is tender in his LIF. A point of care ultrasound is performed using a curvilinear probe. He is able to localise with Read more about Diverticulitis[…]
Images Dr Juan Chiang An 85 year old man is brought in by ambulance after a syncopal event. He was hypotensive on scene, BP 78/50. He is given fluid by the paramedics but remains hypotensive. He has no chest pain and is not short of breath. On arrival at the Emergency Department, he is alert, Read more about Dissection[…]