Patients love imaging!
November 7th, 2018
A girl in her mid-teens presented with acute suprapubic pain that woke her that morning. It was desc[...]
Cases
Send the right patients home with POCUS
Dr. Tim Van Aerde sent us this great case which illustrates some important points. This lady came in with vaginal bleeding, hCG 2500 and very minor left flank pain. Vitals normal. Hemoglobin normal. In the past I would have sent this patient home with an ultrasound in the morning. Threw on the probe and saw […]
Swollen finger? Take a bath!
Dr. Gordon presents a case of a swollen finger worth reviewing. POCUS is becoming extremely useful at investigating these patients as it allows great visualization of the tendon and sheath showing lacerations, foreign bodies and infection. Being a dynamic exam, you can have the patient move their digits and watch the tendons slide. An important trick is […]
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 […]
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 […]
What’s the diagnosis and what’s the gold standard for POCUS??
A man in his late 50s presented to an ED a while back during the summers months with a 3 day H/O multiple complaints including rhinorhea, sore throat, dry cough, vomiting, loose stool, right frontal headaches, dyspnea, dysuria, and dark urine. So, a mixed picture. Fever of 100.9 was measured at home. No contacts or […]
Huge save in a patient with neck swelling
Dr. Joel Turner , the fellowship director in Emergency Medicine Ultrasound in McGill’s department of Emergency Medicine at the Jewish General Hospital in Montreal presents the following case. If this doesn’t make you reach for your ultrasound probe, nothing will! 55 year old female sent to the ED because of progressive, non-traumatic swelling of the […]
Now that Greg has made you afraid of necrotizing fasciitis…as you should be!
Greg posted a couple of cool cases of necrotizing fasciitis in December. We had a case of nec fasc in our department in the last few months that has made everyone quite wary! It has dropped our threshold for worrying about this nasty entity. I saw a patient last month who presented with diffuse cellulitis […]
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 […]
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 […]
Dr Richard with a pneumonia that just won’t go away!
Thoracic EDE is one of the hot topics in the POCUS world. This is Ben Ho’s chapter at EDE 2. Joel Turner (@JTMcGillEM) has presented some newer aspects at EDE 3. Here is a case from Dr Bernard Richard in Valleyfield that illustrates its utility. Incidentally , Bernard will be making his debut as an […]
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