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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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EDE 3 Leading Edge POCUS Conference

January 9, 2014 0 Comments
EDE 3 Leading Edge POCUS Conference

The second annual EDE 3 conference has just wrapped up in Turks and Caicos.  Despite the horrible Canadian weather making it miserable to travel, 30 brave families succeeded in attending the sold-out course. Topics included: confirmation of ETT placement, US-guided cricothyrotomy, US assessment of appendicitis, diverticulitis, bowel obstruction Testicular US Shoulder assessment Thorax (pneumonia, pulmonary […]

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Pseudogestational sac

December 30, 2013 0 Comments
Pseudogestational sac

You all know to be wary of the pseudogestational sac in the setting of a potential ectopic pregnancy. An article by Benson this past March in the Journal of Ultrasound in Medicine gives us a little more data regarding this entity. The pub med link: http://www.ncbi.nlm.nih.gov/pubmed/23443178 The quick and dirty summary… This article was from […]

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Happy Holidays POCUS-style!

December 24, 2013 0 Comments
Happy Holidays POCUS-style!

May POCUS help you do the right thing for your patients at this time of year when access to health care and diagnostics is in short supply. And yes, as you can see Santa brought me a whole bunch of presents this year! I will get to share them with those attending the EDE 3 […]

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Small Bowel Obstruction is not hard to find with POCUS: Lloyd Gordon makes his case

December 22, 2013 0 Comments
Small Bowel Obstruction is not hard to find with POCUS:  Lloyd Gordon makes his case

  This patient complained of vomiting, hematemesis, abdominal distension. POCUS revealed normal looking small bowel with normal peristalsis in the pelvis and lower abdomen. The upper abdomen had a few lengths of SB which were distended (SBO) and with poor peristalsis. CT confirmed small bowel obstruction plus revealed tiny areas of free air (micro-perforation).   […]

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