Trauma : knife though chest

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

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

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[…]

Alcoholic cirrhosis

Images and text Genevieve Carbonatto A 54 year old man presents to the Emergency Department with abdominal pain and jaundice. He has a distended abdomen. He is known to have alcoholic cirrhosis. A point of care ultrasound was performed. The following demonstrates some of the basic features of cirrhosis with ultrasound. Liver size, increased echogenicity Read more about Alcoholic cirrhosis[…]

Cavernous haemangioma

Images and text Genevieve Carbonatto An abdominal ultrasound is performed on a young woman for right upper quadrant pain. This is what is seen while scanning through the liver This is a cavernous haemangioma. It looks like a snowball on ultrasound. Characteristics of haemangiomas: Blood filled cavernous space lined with a single layer of flat Read more about Cavernous haemangioma[…]

Right ventricular thrombus

Images and  text Genevieve Carbonatto A 35 year old man presents to the Emergency Department with severe shortness of breath. He is known to have an amphetamine induced cardiomyopathy. His heart rate is 129/min, BP 116/76. He has mild pedal oedema. His JVP is elevated and on auscultation he has crepitations bilaterally. You decide to Read more about Right ventricular thrombus[…]

Pitfall: Blood clots in ruptured ectopic pregnancy

Images and text Genevieve Carbonatto It is a busy Thursday evening in the Emergency Department. There is no place to put patients and assess them.  The only bay which may be available is occupied by a lady who  refuses to leave the bay because she feels so ill. You call the nurses and together you Read more about Pitfall: Blood clots in ruptured ectopic pregnancy[…]

Pitfall: Painless ruptured ectopic pregnancy

Images Mark Russel, text Genevieve Carbonatto A 35 year old women  presents to the Emergency Department for a review of a possible ectopic pregnancy. She is 7 weeks pregnant by dates. An outpatient scan was performed the day before for painless vaginal bleeding . It did not show an intrauterine gestational sac. A complex left Read more about Pitfall: Painless ruptured ectopic pregnancy[…]