Question 1 : Compare Testicular Torsion, Epididymo-orchitis and Epididymitis

Question 1  Describe symptoms, historical features and US findings in • Testicular torsion • Epididymoorchitis , epididymitis Ultrasound is an essential tool in differentiating between the different causes of testicular pain however ultrasound alone cannot exclude torsion. Initially ultrasound findings in testicular torsion may be unremarkable and then become heterogeneous or diffusely hypo-echoic, mimicking epididymo-orchitis both Read more about Question 1 : Compare Testicular Torsion, Epididymo-orchitis and Epididymitis[…]

Intussusception: Left upper quadrant mass

Images Genevieve Carbonatto, text Genevieve Carbonatto An 80 year old lady presents to the Emergency Department with a 4 month history of feeling unwell on and off  associated with a  4 kg weight loss during that time. She presented acutely because  the night before she developed mild abdominal pain and vomiting.  She has been investigated Read more about Intussusception: Left upper quadrant mass[…]

Dr Lichtenstein: Whole body ultrasound

  Dr Daniel Lichtenstein spent a weekend in Australia to talk about whole body ultrasound with a special emphasis on lung ultrasound. It was a fabulous weekend and 12 of us had the opportunity of scanning with him on the wards. Lung ultrasound seems at times so simple, yet when an expert is there to Read more about Dr Lichtenstein: Whole body ultrasound[…]

Appendicitis 11 weeks pregnant

Images Genevieve Carbonatto An  11 week pregnant patient presented to the Emergency department complaining of right iliac fossa  pain. Ultrasound examination shows appendicitis. Features consistent with this include  Thickened appendix which measures 1.36cm. Target sign – hypoechoic walls Non compressible appendix Lack of peristalsis “creeping fat” or hyperechoic mesentery surrounding appendix