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Cases

Incidental POCUS Findings – The Gallbladder

June 4, 2018 0 Comments
Incidental POCUS Findings – The Gallbladder

There’s a whole host of abnormalities that one can find on POCUS. Some of them do not represent an acute problem. Most of them are of a minor nature and quite common, and do not need further imaging. But in a few cases, follow-up elective imaging is required. Here’s an example. This elderly patient presented […]

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Saving Brainspace with POCUS

February 8, 2018 0 Comments
Saving Brainspace with POCUS

Here is a cool case that Lloyd Gordon recently sent us… “A 60 year-old woman had a fever of 39.6C and vomiting. The triage note mentioned abdominal pain but she didn’t have any pain when I saw her and she never asked for analgesics. Her abdomen was completely benign and she looked well. Not much […]

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Foreign bodies in genitalia – Time for POCUS!

January 31, 2018 0 Comments
Foreign bodies in genitalia – Time for POCUS!

How’s that for a title! Books, lectures and plenty of other resources on foreign bodies would not be complete without at least one eye-catching image of a foreign body in an orifice where it clearly does not belong :). And there is often a bizarre story to go along with it. Admit it! Everyone has […]

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The C Word & POCUS

December 29, 2017 0 Comments
The C Word & POCUS

Is cancer an emergency medical diagnosis? Technically, it’s not. The primary diagnosis of cancer does not show up in any emergency medicine textbooks. And rightly so. Although the complications of cancer can kill quickly, cancer itself develops relatively slowly. As such, the responsibility for the initial diagnosis of cancer falls largely to family physicians and […]

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Another abdo pain…just my 6th case today!

December 21, 2017 0 Comments
Another abdo pain…just my 6th case today!

Every ED across the planet has its own demographic. Some EDs may see more of this, and other EDs may see more of that. But I bet we all see lots of cases of abdominal pain. Often enough, it can be difficult and time-consuming to make the diagnosis, especially in the older patient. Order blood […]

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Stroke patient…order CT…admit patient…no role for POCUS :( Ho hum…

December 14, 2017 0 Comments
Stroke patient…order CT…admit patient…no role for POCUS :( Ho hum…

What is the role of the acute-care clinician in strokes? In large part, it’s really unexciting. We all know that. All need a CT which is usually normal. Most get admitted. Whether they are devastating or trivial, there’s not much that we can do about it (if this makes you think about lytics, go to […]

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Rare as rare can be…easily picked up with POCUS!

December 7, 2017 0 Comments
Rare as rare can be…easily picked up with POCUS!

I am working away on the French version of the eBook making a few edits as I go. One important addition is a video from Dr Bernard Richard. Bernard is an EDE 2 instructor based in Valleyfield, Québec. He saw a young women with a first trimester presentation, some combination of pain and bleeding. The […]

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Avoid the poor man’s TURP with a Foley by using POCUS

October 11, 2017 0 Comments
Avoid the poor man’s TURP with a Foley by using POCUS

Nurses are really good at putting in Foley catheters. They do it all the time and most of them are really easy to place. Most of them… When they aren’t, who do they ask for help? You bet ya! The emergency physician. If you are like Dr Lloyd Gordon, the first thing that you do […]

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An EDE 3 Special Case

March 1, 2017 2 Comments
An EDE 3 Special Case

EDE 3 is being held at Mont-Saint-Anne just east of Québec City later this week. So I thought I would post a case where a couple of EDE 3 scans were quite useful: Groin hernias presented by Dr Andrew Skinner and the TAP block presented by Dr Ben Ho. A 69 year-old man presented with […]

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#POCUS for Ocular Trauma

February 14, 2017 0 Comments
#POCUS for Ocular Trauma

At EDE 2, we talk about using Ocular POCUS primarily in the search for retinal detachments and vitreous hemorrhages. It comes up less often, but we also point out its utility in the assessment of the trauma case, especially the ruptured globe. One of my colleagues in Sudbury, Dr Mark Dube, saw such a case […]

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