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Point-of-Care Ultrasound to Evaluate Intrahepatic Biliary Stent Function

Michael Louthan, BS^* and Shadi Lahham, MD, MS^*

DOI: https://doi.org/10.21980/J86S6N Issue 4:3 No ratings yet.

The ultrasound image demonstrates severe intrahepatic biliary ductal dilatation without an obvious intrahepatic obstructive lesion, as pointed out by the white arrows. The hepatic vasculature is well-distinguished from the biliary tree via color flow doppler, as seen by the white arrowheads.

Pericardial Clot on Point-of-Care Ultrasound

Rame Bashir, BS^*, Esther Kim, BS^*, Shadi Lahham, MD, MS^* and John C Fox, MD^*

DOI: https://doi.org/10.21980/J8ZH1TIssue 4:2 No ratings yet.

Focused assessment with sonography in trauma (FAST) scan was positive for a clinically significant pericardial effusion as evidenced by the hypoechoic fluid around the myocardium, indicated by the blue arrow in image 2. Findings are also consistent with tamponade process as evidenced by restricted expansion and collapse of the right ventricle during diastole. The hyperechoic floating structure between the pericardium and myocardium, adjacent to the right ventricle, represents a pericardial clot, indicated by the white arrow.The density of the pericardial clot differs from that of the myocardium, thus serving as an additional variable to avoid confusing this as part of the myocardial structure.

Cardiology/Vascular Ultrasound Visual EM

Radiolucent Foreign Body Seen on Point-of-Care Ultrasound but not on X-ray

Julian Jakubowski, DO^*

DOI: https://doi.org/10.21980/J8WS77Issue 4:1 No ratings yet.

X-rays of the foot were obtained and no radiopaque foreign body was visualized. Due to high clinical suspicion for retained foreign body, a point-of-care ultrasound was performed by applying a high-frequency linear probe at the area of discomfort. In the long axis an ovoid focus of hypoechogenicity (orange outline) is visualized. Within this finding there is a linear focus (yellow line) of increased echogenicity measuring 1 mm in diameter and 1 cm in length. On short axis view, a rectangle focus (green dot) demonstrating shadowing (blue highlight) is seen.

Ultrasound Visual EM

Low-Cost, Low Fidelity Meat Model to Teach Ultrasound Guided Nerve Blocks

Morgan Oakland, MD^*, Shruti Chandra, MD^* and Carl Alsup, MD^*

DOI: https://doi.org/10.21980/J83G9RIssue 3:4 No ratings yet.

Upon completion of this workshop, learners will be able to: 1) Describe the risks and benefits of ultrasound guided nerve blocks. 2) Choose the appropriate nerve to block based on the area that needs anesthesia. 3) Display proficiency in performing an ultrasound guided nerve block on meat models. 4) Verbalize confidence in successfully performing ultrasound guided regional anesthesia. By successfully meeting these objectives, we aim to improve learner confidence and clinical ability in performing ultrasound guided nerve blocks.

Innovations Ultrasound

Point of Care Ultrasound Illustrating Small Bowel Obstruction

Badriah Alruwaili, MBBS^* and Shadi Lahham, MD^*

DOI: https://doi.org/10.21980/J8T637Issue 3:3 No ratings yet.

POCUS of the small bowel illustrated significantly dilated loops of bowel (white line), thickened bowel wall (white arrow) and to-and-fro peristalsis, consistent with small bowel obstruction.

Abdominal/Gastroenterology Ultrasound Visual EM

Retinal Detachment

Adnan Riaz, MD^*, Chirag Shah, MD^* and Grant Wei, MD^*

DOI: https://doi.org/10.21980/J8204QIssue 3:2 No ratings yet.

Bedside ocular ultrasound revealed a serpentine, hyperechoic membrane that appeared tethered to the optic disc posteriorly with hyperechoic material underneath. These findings are consistent with retinal detachment (RD) and associated retinal hemorrhage.

Ophthalmology Ultrasound Visual EM

Evaluation of Snake Bites with Bedside Ultrasonography

Josef E Jolissaint^*, Alexis Salerno, MD^{^} and Daniel Sheets, MD^{^}

DOI: https://doi.org/10.21980/J84S7D Issue 3:2 No ratings yet.

History of present illness: While watering his lawn, a 36-year-old man felt two sharp bites to his bilateral ankles. He reports that he then saw a light brown, 2-foot snake slither away from him. He came to the emergency department because of pain and swelling in his ankles and inability to bear weight. Physical examination revealed bilateral ankle swelling and

Ultrasound Visual EM Wilderness

Glass Foreign Body Hand Radiograph

Hamid Ehsani-Nia, DO^* and Joshua Bucher, MD^*

DOI: https://doi.org/10.21980/J8W92HIssue 3:2 No ratings yet.

History of present illness: A 27-year-old female sustained an injury to her left hand after she tripped and fell on a vase. She presented to the emergency department (ED) complaining of pain over the laceration. Upon examination, patient presented with multiple small abrasions of the medial aspect of the left 5thdigit that are minimally tender. Additionally, she has one 0.5cm

Trauma Ultrasound Visual EM

Point-of-care Ultrasound for the Diagnosis of a Gluteal Abscess

Kevin Roy, BS^*, Robert Rowe, MD^* and Maili Alvarado, MD^{^}

DOI: https://doi.org/10.21980/J8VH1W Issue 3:1 No ratings yet.

POCUS reveals a large, hypoechoic soft tissue abscess with debris and tracks extending to the bottom of the image. Furthermore, when compressed, movement of the abscess contents is appreciated. There is also superficial cobble-stoning consistent with overlying cellulitis and soft tissue edema.

Infectious Disease Ultrasound Visual EM