Takaaki Mori, MD, MRCPCH, MSc; Sung Shin Teng, MBBS, MRCPCH, FAMS – A previously healthy, 4-year-old boy visited our emergency department due to chest pain after a fall from a skate scooter. Physical examination revealed tenderness over the sternal body. Point of care ultrasound (POCUS) of the sternum demonstrated a discontinuation of a hyperechoic structure of the sternal cortex, suggesting a sternal fracture.
David J. McCreary, MBBS MRCPCH PgC US; Alex White, MBBS – A 2-year-old girl presented to the Paediatric Emergency Department following an unwitnessed injury to her left arm while playing at nursery limiting further examination. On assessment she was reluctant to use her left arm and further examination was difficult. In cases of unwitnessed and undifferentiated elbow injuries point of care ultrasound (POCUS) can be used to evaluate for elbow joint effusion, fracture, or radial head subluxation, also known as nursemaid’s elbow.
Ankit Mehta, MD, FACP, SFHM; Kreegan Reierson, MD; Benji Mathews, MD, MBA, SFHM – The merits of utilizing point of care ultrasound (POCUS) in acutely ill patients is leading to a widespread embrace. Assessment of IVC via POCUS as part of a comprehensive multi-organ approach can help guide volume tolerance. Anatomical/developmental variations of IVC can vary widely in prevalence.
Figure 3: Axial view of the plain CT thorax showing low density collection in the pectoralis major muscle of the left hemithorax (a) with underlying costochondral junction showing break in cortex (b). – Tuberculosis (TB) remains a global public health concern; most notably in endemic countries where there is a rise in its incidence. Although primary pulmonary involvement accounts for the majority of TB cases, extrapulmonary tuberculosis (EPTB) is rapidly growing in high income countries.
Sergio Velasco Malagón, MD; Juliana Moreno Ladino, MD; Hector Andres Ruiz, MD – COVID-19 generates a series of challenges, one of them being thrombotic manifestations of the disease. The growing use of POCUS and its wide versatility have expanded its use outside of radiology rooms.
Grace B. DeMarco, MD; Qiuchen Jiang, MD; Ernest A. Fischer, MD MS – A 73-year-old male with a recent finding of pericardial effusion and syncope was evaluated with point of care ultrasound for recurrent effusion. A thickened left ventricle and recurrent pericardial effusion were found.
Hadiel Kaiyasah, CABS FACS ESCP; Lamis Abufool, MBBS; Labib Al Ozaibi, CABS ESCP – Pilonidal sinus is a common problem encountered in proctology clinics. It has a wide spectrum of clinical picture ranging from a single asymptomatic pit to a more complex disease with multiple sinuses and secondary openings.
Zouheir I. Bitar FRCPuk, EDEC; Mohamad Abdelfatah MD; Ossama Sajeh Maadarani, FRCP; Muath Alanbaei, MD; Rashed Juma Al Hamdan, MD – Detecting dilated coronary sinus when assessing patients in an acute emergency with point-of-care ultrasound (POCUS) is important for differential diagnosis, including the detection of persistent left superior vena cava (PLSVC) and right ventricular dysfunction.
Lucas Barboza, BSc; Rob Tanzola, MD, FRCPC – Deployment of stent-grafts and other endovascular devices is a common technique for various vascular repair procedures. Induced, transient, periods of hypotension are essential to the precise deployment of a device as this minimizes displacement that can result from high pressure aortic flow.
Michael Freilich, MD; Benjamin Galen, MD; Deborah Schwartz, MD – Point-of-care ultrasound (POCUS) is a useful tool for the evaluation of soft tissue masses. We present the case of a patient with a mass on his forehead initially thought to be a slowly resolving hematoma.