Pneumothorax : Where do we place the probe?

A 56 year old man presents to the Emergency department from another hospital for trauma assessment. Earlier that morning he had fallen off a roof and injured his chest and left hand. He has had 3 chest ultrasounds performed by 3 different operators and a pneumothorax was missed. It was picked up by a CT Read more about Pneumothorax : Where do we place the probe?[…]

Trauma: Right kidney laceration

Images Stuart Napier, text Genevieve Carbonatto A 24 year old presents to the emergency department with right upper quadrant pain after playing rugby. He tripped, landing on his right elbow jamming  into his right upper quadrant. He was immediately winded and felt right upper abdominal pain. On waking the next morning he had severe right Read more about Trauma: Right kidney laceration[…]

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 have been  intermittent until the morning of the presentation when the symptoms were constant and also associated with a left sided limp. She is unwilling to weight bear on her left leg. She 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 53  year old lady presents to the Emergency Department after having stabbed herself in the chest in a suicide attempt. The knife is still in the chest close to and to the left of the sternum  in the 5th intercostal space. She is alert and orientated, she 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[…]