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Cases

What’s the diagnosis and what’s the gold standard for POCUS??

March 2, 2015 4 Comments
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 […]

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Huge save in a patient with neck swelling

February 16, 2015 2 Comments
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 […]

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Now that Greg has made you afraid of necrotizing fasciitis…as you should be!

February 9, 2015 3 Comments
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 […]

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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 […]

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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 […]

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Dr Richard with a pneumonia that just won’t go away!

January 13, 2015 1 Comment
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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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 […]

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Necrotizing Fasciitis: Let’s scare you into using POCUS shall we?

December 13, 2014 0 Comments
Necrotizing Fasciitis:  Let’s scare you into using POCUS shall we?

  Warning: Scary article ahead. Point-of-Care Ultrasound Diagnosis of Necrotizing Fasciitis Missed By Computed Tomography and Magnetic Resonance Imaging It’s one of those diagnoses that scares us.  Hard to figure out clinically in many cases at initial presentation.  Adjunctive tests can be false negative.  How can we increase our sensitivity?  Use your POCUS skills of […]

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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: […]

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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 […]

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