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

Hickam’s Dictum Incarnate: A Case of Simultaneous Left-Sided Urolithiasis and Ruptured Iliac Artery Aneurysm  

Melissa Bouwsema, MD; Colin Bell, MD – A 51-year-old man with a history of nephrolithiasis presented to the Emergency Department after a sudden onset of left-sided groin pain and syncope. At presentation, he described his pain as similar to prior renal colic episodes. At his initial assessment, point of care ultrasound (POCUS) was used, which revealed findings consistent with obstructive renal stones, as well as a substantially enlarged left iliac artery.