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Another reason to use POCUS for Central Lines

February 11, 2014 0 Comments
Another reason to use POCUS for Central Lines

It’s easy to forget that POCUS not only increases our success and reduces our complication rates for inserting central lines, it also helps us avoid putting lines where they don’t belong! While most clots will be visible a significant number can only be appreciated by the lack of compressibility of the vein.  Below is another […]

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More bowel POCUS: A case of diverticulitis

February 4, 2014 0 Comments
More bowel POCUS: A case of diverticulitis

This patient had LLQ pain. POCUS with the linear transducer and virtual concave on showed a tender area over the colon here and a small area of free fluid with the small bowel peristalsing around in the fluid. From this I made the diagnosis of diverticulitis. The CT confirmed this: a small area of oedematous sigmoid […]

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Think about the children! Ruling in appendicitis

February 1, 2014 0 Comments
Think about the children!  Ruling in appendicitis

  A few days ago I was shocked and surprised to have an 8 year old male taken to the O.R. by our surgeon with only a clinical exam and my bedside scan.  The child was seen in the late evening when access to U/S and CT is very limited at our shop. While the […]

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Apocalypse Now! Nonradiologists performing most US-guided procedures

January 29, 2014 0 Comments
Apocalypse Now! Nonradiologists performing most US-guided procedures

  The Increasing Role of Nonradiologists in Performing Ultrasound-Guided Invasive Procedures Journal of the American College of Radiology (November 2013), 10 (11), Complete, pg. 859-863 Richard E. Sharpe; Levon N. Nazarian; David C. Levin; Laurence Parker; Vijay M. Rao In this American study, data shows that as of 2010 non-radiologists were doing more ultrasound guided […]

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Dr. Gordon brings up a case of gastro

January 29, 2014 0 Comments
Dr. Gordon brings up a case of gastro

This child was ~ 5 years old. Previously well. One day history of lots of vomiting and diarrhea. Looked pretty wiped out. Nothing specific to find on exam. POCUS revealed the maximum IVC diameter to be much less than the aortic diameter. According to some paediatric studies in normal patients the two diameters should be […]

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Best wrist angle for Art line with POCUS

January 23, 2014 0 Comments
Best wrist angle for Art line with POCUS

I was glancing through the latest (January) issue of the Journal of Clinical Monitoring and Computing, because that’s how we roll at the EDE Blog, and I noticed this article… Kucuk et al. Forty-five degree wrist angulation is optimal for ultrasound guided long axis radial artery cannulation in patients over 60 years old: a randomized […]

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When superficial thrombophlebitis isn’t benign

January 22, 2014 0 Comments
When superficial thrombophlebitis isn’t benign

A 57 year old woman presented to the ED with left leg pain and swelling for a week. She had no past medical history, and no risk factors for DVT. On examination there was a palpable superficial cord running along the medial leg from the knee to the groin. This cord was erythematous, warm and […]

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A very scary abscess story

January 13, 2014 0 Comments
A very scary abscess story

Dr. Andrea Unger is an emergency physician and avid POCUS educator.  She has recorded some of the scariest images you will ever see when it comes to abscesses, reinforcing why ultrasound should be a crucial part of your exam of potential fluid collections. [Ed.] I was asked to come and see a patient, by a […]

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Carpal tunnel syndrome

January 12, 2014 1 Comment
Carpal tunnel syndrome

There are quite a number of studies looking at the use of ultrasound to diagnose carpal tunnel syndrome (CTS). The median nerve swells just proximal to the carpal tunnel in patients with CTS. The thought is that one can measure the size of the nerve to make the diagnosis. A recent article was published in […]

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Beware of the carpet

January 12, 2014 0 Comments
Beware of the carpet

Identifying tendon ruptures is usually straightforward clinically but there are many cases where POCUS can help greatly.  For the acutely swollen and tender knee, it is often difficult to do a thorough exam and the patient is often left non-weight bearing and gets reassessed several days or weeks later.  However, POCUS can help identify significant […]

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