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Pilonidal Abscess: Hair today, gone tomorrow

August 16, 2014 1 Comment
Pilonidal Abscess: Hair today, gone tomorrow

This may seem like overkill; POCUS for an obvious abscess. Still it was interesting to see the ingrown hair inside the abcess. Also the point of maximal induration was not where the actual abcess was, strangely enough. So in the end the POCUS showed not only that the abscess was ready to be drained but where […]

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Glass FB in Palm

August 12, 2014 0 Comments
Glass FB in Palm

This guy got a glass FB in his hand a couple of weeks earlier. You could sort of imagine a little bump and a little mark. POCUS clearly showed it ~ 1 mm deep. I made an X and (luckily) fished it out. I took a lousy picture with my obsolete Palm Treo showing the […]

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Purulent tenosynovitis on POCUS

August 8, 2014 0 Comments
Purulent tenosynovitis on POCUS

This is from a fellow with the classic high pressure air/water injected in his hand a few days earlier. You can see the pus next to the tendon.

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Viral Parotitis

August 3, 2014 0 Comments
Viral Parotitis

A 9 month old child presented to the ED. URTI symptoms, fever and swelling below the left ear. The child looked well with a fullness near the left angle of the jaw. POCUS revealed a swollen parotid with a Swiss-cheese like appearance. I checked the other side for a control but it looked the same. […]

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Lots of Gallbladder views for the album

July 28, 2014 0 Comments
Lots of Gallbladder views for the album

One of my colleagues found a nice gallbladder. I took some pictures of it after my shift was over-clearly I’m getting a bit obsessed here. It illustrates a number of findings suggestive of cholecystitis.   There are a number of views here. Some from under the right ribs anteriorly, some from through the chest wall […]

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Colles and POCUS

July 24, 2014 2 Comments
Colles and POCUS

I like to use POCUS for hematoma blocks and Colles fractures. Here’s one. I first mark the most obvious area of the radial fracture. Then I aim from slightly cephalad at a 45 degree angle to inject the fracture. By the way, I’ve never actually seen the hematoma in the “hematoma” block. I then follow […]

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Staghorn Calculus

July 20, 2014 0 Comments
Staghorn Calculus

This fellow had a chronic history of renal stones (also a stent). The POCUS showed his collecting system filled with calculus. The entire calyceal system and pelvis was packed with stones.

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Take the appendix challenge

July 17, 2014 0 Comments
Take the appendix challenge

Do you want to improve your imaging skills safely?  Then take challenges like this case from Dr. Gordon.  When you have someone waiting to get a CT for appendicitis, look for the appendix yourself with POCUS.  If you see it and still can’t convince your surgeon to go to the OR, then getting an elective […]

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Shoulder pain from eating hamburgers?! Find the Dx with POCUS

July 16, 2014 0 Comments
Shoulder pain from eating hamburgers?!  Find the Dx with POCUS

While eating a hamburger, an 85 year-old obese woman felt a sudden and sharp pain in her right shoulder. Although she has a past history of rhematoid arthritis, she had no prior shoulder pain. She was also taking coumadin for atrial fibrillation. On arrival, she was unable to move her arm. Several diagnoses come to […]

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#POCUS for DVT in the ICU: Can it be Done?

July 6, 2014 1 Comment
#POCUS for DVT in the ICU: Can it be Done?

Anton Helman (@EMCases) from EM Cases brought up a recent article on Twitter regarding DVT POCUS performed by internal medicine residents in the ICU. The results were…disappointing… But does this spell the end for DVT EDE? Let’s peel back the layers of the onion & see. If you would like to read the article yourself, […]

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