Author Archive: Jean-Philippe Garant
Gas Gangrene
An elderly woman was sent to the ER by her senior’s residence in the middle of the night for bloody stools. The triage nurse found out that there was no blood but there was pus coming from her rectum. There was a very red and swollen area starting from the anus and extending onto her […]
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 […]
Time-saving technique for difficult lumbar punctures
Lumbar puncture failure, although not a catastrophic event, is always frustrating and time consuming. Skin marking after identifying spinous processes with ultrasound is an interesting method to increase your success rate. However, real time ultrasound guided lumbar puncture is relatively easy to do and faster than skin marking. I personally use the abdominal probe with […]
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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