Subscribe via RSS Feed

Author Archive: Lloyd Gordon

rss feed

Good uterus gone bad

March 16, 2015 0 Comments
Good uterus gone bad

The first patient was a week post-partum with some midline pelvic pain. POCUS showed a hyperechoic line in the endometrial cavity: likely gas from endometritis. The second patient had post-menopausal bleeding for over a month. POCUS showed a very bulky post-menopausal uterus with a fluid collection cephalad to the uterus: likely endometrial Ca.   [Ed […]

Continue Reading »

Yes, yes it is another scary neck case!

March 12, 2015 1 Comment
Yes, yes it is another scary neck case!

Look, we know you are probably tired of hearing us tell you about all the things you can find with POCUS that are missed on physical exam or other imaging modalities. Well too bad! ¬†Learn this stuff and make a big save yourself! Lloyd Gordon has another nice case involving the neck…[ed.]   This fellow […]

Continue Reading »

Common Bile Duct Measurements: Not very useful for emergency physicians

January 29, 2015 1 Comment
Common Bile Duct Measurements: Not very useful for emergency physicians

Editors note: Lloyd has provided several great biliary scans to the blog and in his previous CBD related post talked about how an incidental finding of dilated CBD helped guide him towards diagnosing a patient with pancreatic cancer. ¬†While all of us at the EDE blog are POCUS enthusiasts, we must acknowledge that there is […]

Continue Reading »

Ultrasound beats Xray for skull fracture

January 21, 2015 0 Comments
Ultrasound beats Xray for skull fracture

This asymptomatic 7 month old had fallen on New Year’s and the parents noted a dent in the head. There did seem to be a contusion in the left fronto-parietal area with maybe an associated “dent”. The child was normally squirmy (and very happy) so the area of interest would swim in and out of […]

Continue Reading »

Beats doing a rectal exam

December 29, 2014 0 Comments
Beats doing a rectal exam

              I was looking at a patient’s kidney. There was clear hydronephrosis and proximal hydroureter. The picture I included isn’t that great because I was trying to get a good picture of the proximal ureteric stone (~ 7 mm on KUB). I was looking at the bladder for a […]

Continue Reading »

Ectopic & Left FAST

December 8, 2014 0 Comments
Ectopic & Left FAST

This patient who was known to be pregnant came in quite shocky. POCUS showed blood around the spleen only, none in Morison’s Pouch or in the pelvis. A bit weird? Maybe because the ectopic was in the left tube? The patient went right to the OR without any further imaging and did well. [Editor’s note: […]

Continue Reading »

Sternal Fracture

December 1, 2014 0 Comments
Sternal Fracture

This fellow had an airbag/steering wheel injury. His sternum was tender over the fracture seen on POCUS. These are amazingly easy to find. Using a linear probe in the longitudinal plane, slide it cephalad and caudad along the sternum. I doubt this would have been seen on X-ray, the displacement is around 1 mm. [Editor’s […]

Continue Reading »

Scaphoid Fracture

November 24, 2014 0 Comments
Scaphoid Fracture

This is from EDE2. You use the linear probe and slide up the lateral radius up to the snuff box looking for a sort of saddle back mountain shape (on the normal side). You can see the fracture discontinuity on the injured side. [Editor’s note: POCUS is good to rule in a scaphoid fracture. But […]

Continue Reading »

Common Bile Duct: How useful is it for us to image?

November 17, 2014 0 Comments
Common Bile Duct: How useful is it for us to image?

      This patient initially gave a history of two months of upper abdominal pain. I was looking at his GB, which seemed normal when I came upon this tubular structure with no flow on Doppler. It certainly looked to be a (very dilated) CBD. Once I saw it, it was natural to ask […]

Continue Reading »

Localized PCE

November 3, 2014 2 Comments
Localized PCE

I tend to think of pericardial effusions (PCE) as being very uniform around the heart. This one was very localized to the area noted on the image. The CT Abd. (I didn’t order it!) showed the same PCE. The history was severe diarrhea and weakness. I was a bit worried about the dilated right ventricle […]

Continue Reading »