Subscribe via RSS Feed

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 […]

Continue Reading »

Belly button mystery

February 22, 2015 1 Comment
Belly button mystery

Here’s a really nice case from Dr. Michael Garner. A healthy 17 yo male presents with a 1st episode of peri-umbilical progressive pain for the past 3 days.  No nausea or vomiting; Normal stool; Unconfirmed fever.  Slight discharge from umbilicus for last 24 hours. Referred by clinic to R/O incarcerated hernia. Examination of the abdomen […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

EDE 3: Scanning, skiing and success!

February 5, 2015 1 Comment
EDE 3: Scanning, skiing and success!

The third annual EDE 3 course was a huge success.  Forty adventurous individuals travelled to Sun Peaks, British Colombia Feb 2-3 to attend the largest EDE course ever. Located at the beautiful Sun Peaks Grand Hotel we had 16 ultrasound machines, 15 instructors, over 30 ultrasound models, and plenty of fresh powder. Amazing presentations were given […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

POCUS may improve clinical exam skills

December 31, 2014 0 Comments
POCUS may improve clinical exam skills

There is a legitimate concern that with newer technologies physicians are failing to develop, or are losing their clinical exam skills.  Let’s face it, in the era of CTs and MRIs the quality of many medical practitioner’s neurological exam skills have become sketchy.  Not you of course!  But I am sure you know a few […]

Continue Reading »

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 […]

Continue Reading »