Ultrasound of the Week

08/03/2017

A 51 year old female with history of anxiety presents with chest pain radiating to her back with tachycardia and a SBP of 210. After seeing a normal cardiac ultrasound and lung ultrasound, you place an ultrasound probe on her abdomen. https://www.ultrasoundoftheweek.com/uotw-80/

04/28/2017

This patient is a 64 year old male with a history of a pancreatic mass who presents with worsening jaundice and mild abdominal pain. Physical exam reveals normal vital signs, notable jaundice and scleral icterus and mild epigastric tenderness to palpation and a negative Murphy’s sign. Bedside right upper quadrant ultrasound is shown.

https://www.ultrasoundoftheweek.com/uotw-79/

03/06/2017

52 year old female with ESRD is transferred from an outside hospital for “possible sepsis.” Patient is somnolent in bed, vitals are BP 75/60, HR 62, RR 24, Temp 98.6. Your medical student on his ultrasound rotation does an echo, sees a pericardial effusion and is concerned for tamponade. What findings do you point out to him that are suggestive of tamponade?
https://www.ultrasoundoftheweek.com/uotw-78-answer/

11/21/2016

11/21/2016

A 45 year old male presents with shortness of breath following a right rotator cuff repair surgery. These scans were obtained at the mid axillary line at the level of T4.
http://www.ultrasoundoftheweek.com/uotw-76/

11/05/2016

This patient is a 31 year old female with a history of AIDS who presents with shortness of breath, cough and fever. Vitals: 120/80 95 19 102.5 91%RA. http://www.ultrasoundoftheweek.com/uotw-75/

[Case by https://twitter.com/bgraboyes.]

09/20/2016

This is a 50 year old female who presents with sudden onset retrosternal chest pain that began just after she heard of her sister’s death. Pain has been continuous for 2 hours, it is a dull ache. Vitals stable. Initial and 2 hour ECGs/troponins are shown, along with a bedside echocardiogram.
http://www.ultrasoundoftheweek.com/uotw-74/

08/29/2016

A 65 year old male presents to emergency department with a one week history of nausea and lethargy. He reports having consulted his GP early into his symptoms, for which he was given a course of antibiotics. He reports that his symptoms have not improved. The emergency physician sends blood work and the patient’s creatinine comes back at 18mg/dl with urea of 42mmol/L and K of 6.8. Patient is referred to Critical care for urgent dialysis. On further probing by the critical care team, patient reports history of occasional chills over the past one week and has also noticed that his urine output may have been lower than normal. The critical care physician places a probe on the patient’s abdomen and this is what he sees. http://www.ultrasoundoftheweek.com/uotw-73/

07/11/2016

This patient is a 52 year old woman with a history of type 2 diabetes who presents with a 1 week history of bilateral flank pain associated with fevers and dysuria. 95/50 115 16 102.5F 100%RA
http://www.ultrasoundoftheweek.com/uotw-72/

05/14/2016

This patient is a 61 year old female with a history of hypertension and diabetes who presents with 3 weeks of intermittent exertional left sided chest pain. The pain is dull, non-pleuritic, always comes on when walking around and resolves with rest. +shortness of breath. Vitals: 95/50 125 22 98.6 97% RA. Follow link to see the bedside echo, which gives away the diagnosis.
http://www.ultrasoundoftheweek.com/uotw-71/

04/24/2016

A 60 year old female presents with painful right neck swelling. She has a past medical history of alcoholic hepatic cirrhosis. Her vitals signs are within normal limits. On examination she has a mass in the right submandibular area. It is tender to palpation, but smooth with no fluctuance. The following images are obtained of the swollen mass.
http://www.ultrasoundoftheweek.com/70/

04/03/2016

This patient is a 32 year old male who has a history of IV drug use, presents as a transfer from an outside hospital (OSH) for sepsis. Was taken to the OSH with bouts of lethargy/AMS mixed with episodes of combativeness. Noted to be febrile, hypotensive. Given 5L NS and a dose of vancomycin PTA. On exam you hear a blowing diastolic murmur. What is the diagnosis and most appropriate management for this patient?
http://www.ultrasoundoftheweek.com/uotw-69/