Current Issue

Unexpected cyst within ascites

by Jeff Ames, MD; Steven Montague, MD – A 59-year-old man, with known alcohol-induced liver cirrhosis and diuretic refractory ascites, was seen in General Internal Medicine clinic for a therapeutic paracen­tesis. The tense large volume ascites caused abdominal pain, which had been previously relieved with paracen­tesis on several occasions. In preparation for paracen­tesis, routine POCUS [...]

A case of Fournier’s gangrene diagnosed with POCUS

by Marco Badinella Martini, MD; Antonello Iacobucci, MD – An 87-year-old man with a history of type 2 diabetes and severe Alzheimer disease was admitted to the emergency department with a lesion of the perineum for two days. The patient appeared agitated and not collaborating on the visit. His vital signs were normal. Physical examination [...]

POCUS for pleural assessment and intervention

by Nicholas Grubic, BScH; Barry Chan, MD – The use of point-of-care thoracic (lung) ultrasound is an integral part of clinical practice that has shown diagnostic accuracy to help guide clinical decision making for pleural interventions.

Infected Baker’s cyst, diagnosed in the emergency department using POCUS

by Joaquín Valle Alonso; F Javier Fonseca del Pozo; Eric Van der Bergh; Harriet Kinderman –  Baker’s cyst is a closed collection of fluid that forms in the posterior aspect of the knee. Usually, it appears as a non-painful inflammation in the popliteal fossa. In adults, its aetiology is secondary to problems that cause [...]

Two cases of aortic emergency presenting with neurologic manifestations, aided by POCUS

by Muhammad Khidir, Mb Bch BAO; Nur Hanisah, Mb Bch BAO; Farah Alwi, Dr EmMed; Al-Hilmi Saim, MMed – Acute aortic dissection and aneurysm are lethal vascular emergencies and may present with various clinical presentations including neurological manifestation. Thus, the diagnosis of aortic dissection and aneurysm can be challenging as it may mimic other disorders [...]