Author's posts
Jun 01
Image of the Week – Massive PE
The Image of the Week comes to us from Drs. Kahra Nix, Ian Dodson, Darin Williams, and Jeremy Ackermann who used ultrasound to evaluate a 50 yo patient with COPD who presented with ROSC following PEA arrest. Can you identify the finding below? Thanks for all your great images this week. Happy Scanning! =============================== …
Jun 01
Image of the Week – Traumatic Arrest After GSW
The Image of the Week comes to us from Drs. Almebash and Reynolds who performed a FAST exam in a patient who presented in traumatic arrest following a GSW. Can you identify the pathology present? Thanks for all of your great images this week! Happy Scanning! =============================== Sierra Beck MD Assistant Professor Department of …
Apr 30
Image of the Week – Achilles Tendon Rupture
The Image of the Week comes to us from Drs Kahra Nix, Jose Rosa, and Jeremy Whitley & MS4s Eli and Rachel who used ultrasound to evaluate an athletic young man who experienced pain and a pop in his ankle whlle playing basketball. Can you identify the normal and abnormal structures below? Thanks for …
Apr 21
Image of the Week – Aortic Dissection
The Image of the Week comes to us from Drs. Kahra Nix, David Zhou, and Shikha Kapil who used ultrasound to evaluate a patient who presented after clinic visit for cough and an abnormal CXR prompted further work up. Can you interpret the image below that was obtained when the patient arrived in the ED? …
Apr 20
FOAM of the Week – Pediatric Abdominal Pain, Abdominal Trauma, Cirrhotic Patients, GI Bleeds
I’ve got some stuff from both last week and this week’s lectures. Enjoy. A series of posts on approach to pediatric abdominal pain: http://dontforgetthebubbles.com/abdo-pain-week-1-general-approach/ http://dontforgetthebubbles.com/abdo-pain-week-2-surgical-causes/ http://dontforgetthebubbles.com/abdo-pain-week-3-management-in-ed/ Work up of blunt and penetrating abdominal trauma from life in the fast lane: http://lifeinthefastlane.com/ccc/abdominal-trauma/ Good overview of cirrhotic patients in the ED: http://www.emdocs.net/approach-to-the-sick-cirrhotic-patient/ EMCrit podcast …
Apr 17
Weekly Report – Baseball to the Eye
This week’s Weekly Report comes from Dr Maryam Arshad. A 26 year old male presented to the ED after being struck in the face with a baseball. His pain was isolated to the right orbit. Physical exam revealed a hyphema occupying approximately one third of his anterior chamber. There was no clinical concern for globe …
Apr 15
Image of the Week – Hepatic Abscess
The Image of the Week comes to us from Dr Layne Madden who used ultrasound to evaluate a patient who presented with fatigue, anorexia, and fever associated with epigastric pain on exam. Can you interpret the image below? Thanks for all of your great images this week! Happy Scanning! =============================== Sierra Beck MD Assistant …
Apr 11
FOAM of the Week – Pulmonary Hypertension, Hemoptysis, Pediatric Respiratory Disorders, The Transgender Patient
Hey all, Some great FOAM from the past few weeks. Was on vacation so some stuff got backed up. Enjoy! Great overview of work up and treatment of Pulmonary Hypertension: http://www.emdocs.net/the-crashing-pulmonary-hypertension-patient/ A couple good posts on management of massive hemoptysis: https://first10em.com/2015/03/24/massive-hemoptysis/ http://www.tamingthesru.com/blog/ebcp/hemoptysis In depth review of bronchiolitis from EMRAP: https://www.emrap.org/episode/july2014/notesfromthe https://www.emrap.org/episode/august2014/notesfromthe Or, shorter overview post …
Apr 02
Weekly Report – Tick Exposure
This week’s Weekly Report comes from Dr. Maryam Arshad: A 37 year old male presents with flu like symptoms. He has a subjective fever, body aches, cough, and congestion. He also notes a recent tick bite one week ago and removed the tick by himself. He has no rash. Clinical question: Should this patient have …
Apr 01
Image of the Week – Superficial and Deep Peroneal Nerve Block
The Image of the Week comes to us from Drs. Karen Bowers and Mene Demestihas who used ultrasound to assist with anesthesia to a complex laceration involving the dorsum of the foot and first web space. They performed two nerve blocks, one of which is shown below. How would you anesthetize a wound like this? …