11. Case of the month: Right hip pain

Images Daniel Loui  Text Genevieve Carbonatto A 60 year old lady presents with recurrent syncopes associated with frequent falls. 2 weeks prior to presentation she had a fall on her right buttock  causing  right hip pain. Subsequently she developed a small heamatoma over her right buttock and a larger right thigh haematoma. She presents with  Read more about 11. Case of the month: Right hip pain[…]

9. Case of the month: PoCUS in pneumomediastinum

Images Chris Fox A 14 year old boy presents to ED with throat and neck pain after persistent vomiting. He states he vomited > 30 times over the previous 8 hours. On examination:  oxygen saturation 98% on RA, BP 128/89, HR 66/min. No obvious crepitaions to the neck. A chest Xray was ordered What can Read more about 9. Case of the month: PoCUS in pneumomediastinum[…]

7. Case of the month: FELS (focused ECHO in life support) in patient with dyspnea

(Case and images courtesy of Dr Ed Brentnall ultrasound reg, text Jay Perera, Genevieve Carbonatto) Triage: -3.06pm on Wednesday afternoon -Cat 3 to acute bed. 2/52 of worsening SOB on exertion +dry cough. Postural drop with CDA. -Observations: BP 116/65, HR 80, RR 24, sats 96% on room air, temp 35.9C History -2/52 exertional dyspnoea Read more about 7. Case of the month: FELS (focused ECHO in life support) in patient with dyspnea[…]

4. Case of the month: Ectopic pregnancy

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 4. Case of the month: Ectopic pregnancy[…]

3. Case of the month: Gallstones, dilated CBD

Case and images courtesy of Dr Micky Fiorentino (ultrasound under supervision of Dr James Dent) Triage at 1pm: 46F, representation with recurrent RUQ pain. Known gallstones. Representing with further pain, yellow skin colour and pale stool and dark urine. O/E Minimally tender RUQ, Murphy’s negative Jaundiced Initial blood tests: Hb 135 WCC 3.8 x 109 Read more about 3. Case of the month: Gallstones, dilated CBD[…]

2. Case of the month: 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. 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 stenosis) severe Read more about 2. Case of the month: FELS Right heart failure[…]