![]() ![]() She has a history of SLE. Based on the following video, please answer these questions: Q1: Describe the renal findings on ultrasound. Q2: What is up with her LUQ view? Q3: What is the anechoic material on her abdominal views? Q4: Describe her bowels on ultrasound. Julia West and Dr. Iman Tamimi (MUSC Emergency Medicine). Enter the name for this tabbed section: Answer. Julia West and Dr. Iman Tamimi (MUSC Emergency Medicine). Based on the following video, please answer these questions: Q1: What pathology is noted on the ultrasound exam? Q2: What is the diagnosis? Q3: What physical exam findings are associated with this diagnosis? Enter the name for this tabbed section: Answer. Q2: What is the diagnosis? FLEXOR TENOSYNOVITIS. Q3: What physical exam findings are associated with this diagnosis? KANAVEL’S SIGNS: 1) PAIN WITH PASSIVE EXTENSION2) FINGER HELD IN FLEXION3) FUSIFORM SWELLING4) TENDERNESS ALONG THE TENDON SHEATHCase courtesy of Dr. Nick Ashenburg, 3rd year EM resident, Maine Medical Center. RYAN BARNES (MUSC EMERGENCY MEDICINE). CASE #4. 5. RYAN BARNES (MUSC EMERGENCY MEDICINE). CASE #4. 4. History of interstitial lung disease. QUESTION: What findings on ultrasound are suggestive of pulmonary fibrosis? Enter the name for this tabbed section: Answer. ![]() Transthoracic Ultrasound in the evaluation of pulmonary fibrosis: our experience. Ultrasound in Medicine and Biology 2. Case courtesy of Neal Kinariwala, MD, Upstate EM. SUSAN WILCOX & DR. RYAN BARNES (MUSC EMERGENCY MEDICINE). CASE #4. 2. RYAN BARNES (MUSC EMERGENCY MEDICINE). CASE #4. 1. LEANNE RADECKI (MUSC EMERGENCY MEDICINE). CASE #4. 0. There has been urine output in the foley bag, but less than usual. Watch the video below and simply answer the most pressing question: WHY DO THIS MAN’S NETHER- REGIONS HURT SO DARN BAD?? Based on the video below, attempt to answer the following questions: Question 1: What is the artifact you see? Question 2: What pathology does this likely represent? This case is courtesy of Dr. Terrill Huggins of the Division of Pulmonary and Critical Care Medicine at the Medical University of South Carolina. Adrian Goudie of Western Australia. ![]() ![]() Previous laboratory workup was unremarkable. Abdominal US positive for cholelithiasis without cholecystitis; abdominal CT otherwise negative for acute process. Année Publication URL; 2017: Bouazza N, Cressey TR, Foissac F, Bienczak A, Denti P, McIlleron H, Burger D, Penazzato M, Lallemant M, Capparelli EV, Treluyer JM, Urien S. Digestive symptoms: Introduction. Further information about Digestive symptoms is below, or review more specific information about these types of Digestive symptoms. CASE: A 79yo male with BPH and dementia arrives with severe GU pain. He had a foley catheter placed by Urology the other day. There has been urine output in the foley. Free ebook: Machiavelli's Laboratory "Ethics taught by an unethical scientist" 12,000 BIOMEDICAL ABBREVIATIONS This page is provided "as is", without warranty of any. Fast facts on neti pots. Here are some key points about neti pots. More detail and supporting information is in the main article. Neti pots can relieve the symptoms. Online Medical Dictionary and glossary with medical definitions, a listing. On exam, she was noted to have diffuse abdominal tenderness and a positive Murphy’s sign. Based on this exam, it is suspected that acute cholecystitis/choledocolithiasis may be present. To further evaluate her abdomen, a bedside RUQ scan was performed with a curvilinear probe. Based on the video below, attempt to answer the following questions: Q1 – What are the sonographic signs consistent with acute cholecystitis? Q2 – What rule of thumb is used to determine abnormal common bile duct size? Q3 –What abnormal findings can be seen in this exam? Q4 – What maneuvers can assist in detecting stones/gravel/sludge in the gallbladder? ![]() Q5 – How would you manage this patient? This case is courtesy of Dr. Alex Monroe and Dr. Owen Stell from the Medical University of South Carolina. Common bile duct distention > 5mm can be seen with choledocholithiasis, but is not included in the sonographic definition of acute cholelithiasis. Q2 – What rule of thumb is used to determine abnormal common bile duct size? Consider ERCP/MRCP for further evaluation of choledocholithiasis. Pearl: Currently, there is debate over the utility of common bile duct measurements in RUQ evaluation with ultrasound. In Becker et al’s Emergency Biliary Sonography: Utility of Common Bile Duct Measurement in the Diagnosis of Cholecystitis and Choledocholithiasis, it was discovered that that isolated CBD dilatation in the absence of other ultrasonographic or laboratory findings was a rare occurrence. Patient explains she is unable to flex her PIP or DIP. No active flexion of the PIP or DIP was noted but full range of motion of the MCP. Main content Non-Cancerous Liver Lesions Diagnosis and Treatment. Printer-friendly PDF of Non-Cancerous Liver Lesions Procedure Profile (416KB) (Download a free copy. What Type of Parasites do You Have? The American Journal of Gastroenterology (2009) 104: S117–S160; doi:10.1038/ajg.2009.492. PubMed comprises more than 27 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links. ![]() Sensation was intact and capillary refill was less than 2 seconds. Based on exam, it was suspected that the laceration not only involved the skin and underlying soft tissue but possibly involved the tendon of both flexor digitorum profundus and flexor digitorum superficialis as well. To further evaluate the injury, the patient’s affected hand was submerged in a water bath and examined with the high frequency linear probe in a longitudinal orientation. Q1- What are the ultrasound findings of the normal finger? ![]() Q2- What are the pathologic findings of the affected finger? Q3- What maneuver can further investigate/clarify the injury? Q4- How do you manage this patient? This case is courtesy of Dr. Russ Allinder and Dr. Tony Congeni from the Medical University of South Carolina. Q2- What are the pathologic findings of the affected finger? The tendon is discontinuous with surrounding edema and a defect in the skin. There currently is little literature available concerning the role of ultrasound evaluation of flexor tendon injuries in the digits. In the literature that has been published, US has been found to be accurate, as well as cost and time efficient relative to MRI prior to surgery. The 2. 00. 8 article in The Journal of Hand Surgery (European Volume) titled “The Role of Ultrasound in the Management of Flexor Tendon Injuries” by Jeyapalan et al discusses ultrasound management for flexor tendon injuries including past publications on the topic, in their retrospective study of 1. Drew Johnson. He reports that his left testicle has become red, warm, swollen and painful over the last 2 days. A testicular ultrasound was performed. Q1- What are the ultrasound findings? Q2- Describe the vascular ultrasound findings. Q3- What is the diagnosis? Q4- How do you manage this patient? This case is courtesy of Dania Daye from the Hospital of the University of Pennsylvania. Enter the name for this tabbed section: Answer. Q1- What are the ultrasound findings? Ultrasound of the left testicle demonstrates testicular enlargement, heterogeneous echotexture and hyperemia. A reactive hydrocele is also appreciated. Q2- Describe the vascular ultrasound findings. Analysis of the spectral waveform demonstrates readily detectable venous flow. The resistive index of the arterial flow seems to be slightly less or in the vicinity of 0. Normal > 0. 5). The resistive index (RI) is defined as RI = (peak systolic volume – end diastolic volume)/peak systolic volume. In the testicles, a normal RI ranges from 0. In testicular inflammation, flow during diastole is brisk resulting in resistive index< 0. A resistive index > 0. With both arterial and venous flows present, no evidence of testicular torsion is appreciated. Q3- What is the diagnosis? The above findings are consistent with an inflammatory process, most likely epididymo- orchitis. The presence of venous and arterial flow excludes the possibility of testicular torsion. Q4- How do you manage this patient? The patient was started on a course of antibiotics. Patient was discharged home on a course of cephalosporins with a scrotal sling. He was instructed to follow- up with the urology clinic. Pain is constant. Q1: What findings suggest pregnancy, and more specifically, what findings ensure an intrauterine pregnancy? Q2: What do you see in these videos? This case is courtesy of the Hospital of the University of Pennsylvania. Enter the name for this tabbed section: Answer. Q1: A double decidual sign can be an early sign of pregnancy but it can be confused with a pseudo- gestational sac. Q2: A right adnexal ectopic is observed in the videos. See how ultrasound quickly established the right course of action. Run time is three minutes. How can ultrasound help you diagnose and hopefully save this man? You may play the interactive case video in either HTML5 (compatible with an i. Pad, but gotta have a GREAT wireless) or SWF (Flash, not i. Pad compatible) formats. She has not had a bowel movement for one week, and she feels if she can just have a good one, she will feel so much better. See how she almost dies right in front of us. This young woman comes in with constipation, but danger lurks in her abdomen. He played the legendary warrior . He felt a pop in his ankle and noticed immediate swelling at the back of his lower leg. His ultrasound demonstrates this injury within minutes of seeing the patient. If you miss the diagnosis, he will die. Click on the button below to see if you can keep from blowing him up. He is coughing and thinks he has a fever. He is so weak now he can barely make it to the bathroom. His CXR is read as a possible infection (but this is not what is going to kill him). However, an eyeball is basically a bag of water. And this makes it a perfect organ to image with ultrasound. The problem is they are not coming from the TV, but rather they seem to be in his right eye. His visual acuity is 2. You decide to use ultrasound to help you figure out the cause of his sudden loss of vision. Tonight he is miserable. He cannot stop vomiting, and he is in terrible pain. Click on the button below to see how you can make this case . On her first visit there were no significant findings on her physical examination. She had normal vital signs and was afebrile. A urinalysis and urine pregnancy test were negative, and she was sent home with a non- steriodal pain medication and told to follow up with her primary care physician. She returned ten days later complaining of the same pain without any relief. She had a hard time moving around and getting up to walk made it worse. VITAL SIGNSHR = 7. BP = 1. 25/7. 3, RR = 1. T = 9. 8. 0. STUDIES AND EXAMA urine pregnancy test and urinalysis done in triage were normal. Her physical exam was remarkable for no tenderness in her flank. There was some very mild tenderness on the anterior aspect of her left thigh, but no swelling or mass. She had good femoral, popliteal, and dorsal pedal pulses in this extremity. There was no other abnormality of the left leg. Her cardiovascular and pulmonary exams were normal. Her abdomen was slightly tender in the left lower quadrant with no peritoneal signs.
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