Subscribe via RSS Feed

Cases

Patients love imaging!

November 7, 2018 0 Comments
Patients love imaging!

A girl in her mid-teens presented with acute suprapubic pain that woke her that morning. It was described as a cramping or burning. It was persistent although not as severe at the time of physician assessment. In fact, it had become rather mild. There was no radiation. She had never had it before. Her last […]

Continue Reading »

Lloyd’s Corner: Unusual Lung POCUS

October 31, 2018 0 Comments
Lloyd’s Corner: Unusual Lung POCUS

Here is another cool case from Dr Lloyd Gordon of Humber in Toronto… A 25 year-old man from the Caribbean had one month history of cough, low grade fevers and chest pain. He was seen 2 weeks prior with right-sided chest pain. A POCUS done at the time showed normal lung sliding. He presented via […]

Continue Reading »

I’m afraid to do this…

September 8, 2018 0 Comments
I’m afraid to do this…

A young woman presented with four days of a sore throat. Her voice was muffled. She couldn’t open her mouth very wide. She had trouble swallowing her own spit. She had had strep throat a few times. She also had two episodes of peritonsillar abscess in the last two years, one of which required drainage. […]

Continue Reading »

Lloyd’s Corner: Ectopic until proven otherwise

August 27, 2018 0 Comments
Lloyd’s Corner: Ectopic until proven otherwise

Here is a case from Dr Lloyd Gordon from Humber in Toronto: A women in her late 30s presented with a sudden onset of lower abdominal pain that started couple of hours before. She had some sort of ovarian surgery years ago. The LNMP was a week or two ago and she didn’t think she […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »