Ultrasound

Cholelithiasis: WES Sign

Hamid Ehsani-Nia, MS^* and Shannon Toohey, MD, MAEd^{^}

DOI: https://doi.org/10.21980/J8X300Issue 2:1[mrp_rating_result]

Abdominal ultrasound showed the classic presentation of the Wall-Echo-Shadow (WES) sign. The superficial aspect of the gallbladder wall is represented by a hyperechogenic curve. Below this, bile fluid is represented by hypoechogenicity. Underneath the bile fluid is the echo of the dense border created by the collection of gallstones, represented by a hyperechogenic curve. Due to the high density of the gallstones, nothing deeper can be visualized (including other gallstones or the far end of the gallbladder); this is the shadow.

A Formalized Three-Year Emergency Medicine Residency Ultrasound Education Curriculum

Andrew King, MD^*, Alyssa Tyransky^*, Alexa Coffman^*, Sarah Greenberger, MD^*, Ashish Panchal, MD, PhD, RDMS^*, David P. Bahner, MD, RDMS^*, Sorabh Khandelwal, MD^* and Creagh Boulger, MD, RDMS^*

DOI: https://doi.org/10.21980/J8RG6HIssue 1:2[mrp_rating_result]

Learners will 1) know the indications for each the 11 ACEP point-of-care ultrasound (POCUS) applications; 2) perform each of the 11 ACEP POCUS applications; 3) integrate POCUS into medical decision-making.

Ultrasound Curricula

Atrial Myxoma

Alisa Wray, MD^*

DOI: https://doi.org/10.21980/J87P45Issue 1:1[mrp_rating_result]

Bedside ultrasound revealed the presence of a left atrial mass that appeared to be tethered to the mitral valve. The mass was best viewed on ultrasound in the apical four-chamber window with the phased array probe placed over the patients’ point of maximal impact (PMI), with the patient in left lateral decubitus position.

Ultrasound Cardiology/Vascular Visual EM