The SHARP Exam: A Standardized POCUS Approach to Undifferentiated Acute Right Lower Quadrant Abdominal Pain in Young Women

Michael Halperin; Maia Winkel; Ashley Aiken; Nora McNulty; Michelle Montenegro; Nicole Leonard Shiu; Trevor Dixon; Alyssia McEwan; William Murk; Ariella Gartenberg – This study presents The SHARP Exam, a novel point of care ultrasound (POCUS) protocol designed to aid in the evaluation of undifferentiated, acute, right-sided, lower abdominal pain in women of child-bearing age. The SHARP Exam is both an acronym ([S]ono [H]er [A]bdomen for [R]ight-sided [P]ain) and a diagnostic tool for emergency physicians to focus on specific pathology ([S]ize of ovary, [H]ydronephrosis, [A]ppendicitis, [R]ight upper quadrant free fluid, [P]regnancy).

Man with Abdominal Bloating, Weight Loss

Sara Greenwald; Mario Ramos; Brian Kohen – In this case file, we describe a 69-year-old man presenting with nausea, vomiting, left upper quadrant abdominal pain and recent weight loss who had findings concerning for intussusception on POCUS. This led the emergency provider to order computed tomography (CT) which confirmed the diagnosis.

Point of Care Contrast Enhanced Ultrasound Utility in the Diagnosis of a Gallbladder Perforation: A Case Report

Lauren Lu; Rebecca Leff; Tobias Kummer – A 61-year-old woman with metastatic ovarian cancer presented to the ED with evidence of localized gallbladder perforation with abscess development on an outpatient CT scan obtained as part of a routine consultation for her ovarian cancer. CT abdomen/pelvis with intravenous contrast revealed thickened nodular enhancement on the wall of the gallbladder with evidence of perforation and a large abscess extending into the right paracolic gutter and anterior pelvis.

Point of Care Ultrasound (POCUS) Used to Rapidly Diagnose Both Renal Colic and a Symptomatic Abdominal Aortic Aneurysm in an Elderly Man with Left Flank Pain

Rie Seu; Ariella Gartenberg; Rachel Mirsky; Aamir Bandagi; Nicole J. Leonard-Shiu; Reema Panjwani; Nora McNulty ;Trevor Dixon; Michelle A. Montenegro ; Michael Halperin – A 70-year-old man with a history of tobacco use, hypertension, nephrolithiasis, chronic systolic heart failure, and recent diagnosis of a 5 cm infrarenal AAA one-month prior presented to the emergency department (ED) with acute onset left flank and lower back pain for two weeks