Fitz-Hugh-Curtis syndrome

Images Chris Harrington text Genevieve Carbonatto A 33 year old lady presents with 10 days of period like crampy lower abdominal pain associated with fevers to 38 degrees, anorexia, nausea, vomiting and urinary frequency. 3 days prior to presentation she developed right flank pain and right shoulder tip pain. She describes malodorous PV discharge. She Read more about Fitz-Hugh-Curtis syndrome[…]

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

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

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

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

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[…]