Ultrasound and Radiology

29 year old male presents s/p trauma. During your primary survey, you notice a deformity to the patient’s right forearm. You obtain a xray and see… Describe the xray and name the fracture. What is the treatment for this patient?

            Physical exam: Hypertension can be seen in 50% of the patients and can be due to catecholamine surge. Hypotension (in 20% patients) can be a result of excessive vagal tone, cardiac tamponade, or hypervolemia from rupture dissection.         References: Mancini, M. Read more…

65 year old male presents with chest pain. He describes the pain as “pain”, but radiating to the back. Denies shortness of breath, nausea, or diaphoresis. You decide to get a CXR…and you see:   please provide a read. What would you do for the patient?

  By Dr. Michelle DiMare   Welcome back and Happy New Year!   While the gallbladder itself and the majority of its pathology are usually considered easily identifiable on basic bedside ultrasound, finding the common bile duct often earns top honors as our nemesis. We must be careful to not Read more…

Here’s the image again: Congrats to Dr. Yohannes! The official read was: “pneumomediastinum and subcutaneous emphysema along the left chest wall and bilateral neck.”   Pneumomediastinum Definition: free air within the mediastinum, which originates from the airways or the alveolar space. Despite how scary it appears, it rarely leads to Read more…

28 year old male presents to the ED complaining of severe coughing, shortness of breath and chest pain. Denies fever or chills. But persistently complains of the severe coughing during history taking. States that only the last two days he has had the chest pain and shortness of breath, which Read more…

Here are the images again:   that’s correct Dr. Bogoch! it is indeed a domino! The patient was brought in by staff members of the facility after questionable ingestion during a game of dominos.   Ingested Foreign Body Foreign bodies can be anywhere in the entire GI tract. The esophagus Read more…

35 year old male with MR presents from a monitored facility for possible ingestion of a foreign body. Per staff who are with the patient, the ingestion took place a few hours prior to arrival. Since the incident, the patient has complained of nausea. Denies vomiting, shortness of breath, drooling Read more…

Here are the images again.   Official read of the CT head: left hemispheric subdural hematoma with significant subfalcine and likely uncal/downward transtentorial herniation.   Traumatic Brain Injury Impairment of brain function as a result of mechanical force. The clinical severity ranges from very mild  to profoundly impaired. The classification Read more…