Genitourinary

Point-of-care Ultrasound in the Diagnosis and Monitoring of Bladder Hematoma vs. Hemorrhage

Esther Kim, BS^* and Shadi Lahham, MD, MS^*

DOI: https://doi.org/10.21980/J8092FIssue 4:3 No ratings yet.

Bladder POCUS demonstrated 500mL of post void residual fluid, indicative of retention. Half of the volume is hyperechoic (red circle); this is likely the bladder wall hematoma. Could also consider sonographic artifact, bladder mass, or cystitis.1-2

Bedside Ultrasound for the Rapid Diagnosis of Fournier’s Gangrene

Patrick Penalosa, BS^*, Maili Alexandria Drachman, MD^{^} and Vy Han, MD^*

DOI: https://doi.org/10.21980/J8CP99Issue 4:2 No ratings yet.

Point of care ultrasound (POCUS) utilizing a high-frequency linear probe revealed heterogeneous debris with subcutaneous air within the scrotal wall extending into the perineum consistent with necrotizing fasciitis of the perineum or Fournier’s gangrene (FG). The video shows multiple foci of gas that appear as echogenic dots with “dirty shadows” posteriorly from reverberation artifact arising from gas within the soft tissue.

Infectious Disease Genitourinary Visual EM

Priapism Team-based Learning

Michael Louthan, BS^*, Mark Jordan, MD^{^}, Faysal Yafi, MD^{^} and Megan Boysen-Osborn, MD, MHPE^*

DOI: https://doi.org/10.21980/J80K9VIssue 4:1 No ratings yet.

The primary goal of this curriculum is to teach EM interns critical thinking; clinical decision making; and presentation, communication, documentation and procedural skills. The secondary goal is to identify interns who might not be performing at the expected level for potential early intervention. In addition, we wanted to ensure that all interns have achieved Level 1 milestones in the patient care, systems-based practices, and interpersonal and communication competencies.

Genitourinary Team Based Learning (TBL)

Chancre of Primary Syphilis

Adnan Riaz MD^* and Grant Wei MD^*

DOI: https://doi.org/10.21980/J83342 Issue 2:4 No ratings yet.

Physical examination revealed a non-tender, erythematous lesion on the glans penis, two similar adjacent satellite lesions, as well as tender inguinal lymphadenopathy. No penile discharge was noted.

Infectious Disease Dermatology Genitourinary Visual EM

Novel Emergency Medicine Curriculum Utilizing Self-Directed Learning and the Flipped Classroom Method: Genitourinary Emergencies Small Group Module

Andrew King, MD^*, Geremiha Emerson, MD^*, Jennifer Mitzman, MD^*, Eric Adkins, MD^*, Alyssa Tyransky^*, Robert Cooper, MD^*, Nicholas Kman, MD^*, Christopher Paul^*, Ashish Panchal, MD, PhD^*, Michael Barrie, MD^*, Sorabh Khandelwal, MD^*, Diane Gorgas, MD^* and Christopher San Miguel, MD^*

DOI: https://doi.org/10.21980/J89S56 Issue 2:3 No ratings yet.

We aim to teach the presentation and management of genitourinary emergencies through the creation of a flipped classroom design. This unique, innovative curriculum utilizes resources chosen by education faculty and resident learners, study questions, real-life experiences, and small group discussions in place of traditional lectures. In doing so, a goal of the curriculum is to encourage self-directed learning, improve understanding and knowledge retention, and improve the educational experience of our residents.

Genitourinary Curricula Small Group Learning