Cutting edge teaching on ultrasound in Emergency Medicine, in collaboration with POCUS Atlas, as well as articles on radiology in EM
During one of your trauma shifts at Janus General, a 21 year old male is BIBEMS s/p fall onto his head. Patient was unresponsive at the scene without a gag reflex, but the patient could not be intubated in the field. After initial stabilization provided by you and your lovely Read more…
Here are the images again Both Drs. Greenstein and Chan got the answer right. Dr. Greenstein is the winner for putting in the read first. Please note that there is a fracture noted on the post reduction film. Answer: 1st Xray: read as inferior shoulder dislocation. 2nd Xray: Read more…
27 year old male presents to Janus General Hospital (where Drs. Grock and Freedman also happen to work) s/p left shoulder injury. The patient says he was playing basketball when the incident occurred. He states that he has been unable to “put down” his left arm since the injury. On Read more…
Brought to you by Dr. Michelle DiMare Also titled: US vs H&P Welcome to yet another exciting installment of our awesome ultrasound blog! For this post, “Name that Tune” rules apply and I challenge you to “name that diagnosis” in 1 number, 1 letter, 1 word and 1 Read more…
Great job, Drs. Liang and Reisman. But the winner is…. Dr. Liang for providing a more thorough reading. The CXR is read as pneumoperitoneum/free air under the diaphragm. Differential diagnoses: perforated viscus – perforated duodenal ulcer, perforated peptic ulcer, ruptured diverticulum Toxic megacolon Surgery (after laparotomy) Peritoneal dialysis Read more…
47 years old male with no PMH presents with one day of severe epigastric pain. States that he had this type of pain before, and his PMD prescribed him “some pills” that helped with the pain. But he no longer takes the medication. You get a CXR and you see… Read more…
Hey everyone! Hope you enjoy this month’s Ultrasound of the Month and my first official blog post! Here’s the clip: A 45 year old man presented to UHB fast track with a chief complaint of right knee pain. His pain began 4 days ago after a Read more…
here’s another image of the portable xray. Case: 30 year old female restrained driver BIBEMS after her vehicle collided with a pole at a high speed. The official read of the portable pelvis film: “dislocation of both femoral heads and bilateral acetabular fractures. Fractures of the right superior and inferior Read more…
30 year- old restrained driver BIBEMS s/p collision with a pole. See image below. Please provide a complete read. How would you manage the patient?
Here’s the xray again. Patient’s fracture was read as an ankle fracture-dislocation. Posterior dislocation of talus and tibiotalar articulation. Comminuted fractures in distal fibula, posterior malleolus and medial mallelous. Orthopedics was consulted. Several reduction attempts were made by ortho, but ankle was unstable and reduction was not able to Read more…