Ultrasound-Guided Nerve Blocks for Flexor Tenosynovitis

John M. Bowling, Erick Zoumberakis – Performing an ultrasound-guided nerve block (UGNB) is now common practice in many emergency departments (EDs) and is considered a core skill according to the American College of Emergency Physicians (ACEP). Nerve blocks are mostly utilized for fractures and laceration repairs, however, these blocks have many other applications. We present a case of utilizing an ulnar UGNB in a patient with flexor tenosynovitis and a history of intravenous drug use (IVDU) when parental opiates proved to be ineffective.

Diagnosis of a Stress Fracture Of a Metatarsal Bone with Point of Care Ultrasound (POCUS)

Alfred Doblinger – The early diagnosis of stress fractures is a challenge in daily primary care practice. Point of care ultrasound (POCUS) can be helpful in the diagnosis of early signs of an incipient stress fracture. A 52-year-old woman presented with a history of chronic overuse in the left forefoot.

A Cardiac Tumor and Liver Masses on Point of Care Ultrasound (POCUS): Implications in a Resource-Limited Setting

Waseem Sous, George Limwado, Enoch Ndarama, Michaela Sous – Malignant cardiac tumors are quite rare, but portend a poor prognosis [1,2]. Early identification and classification are essential given their aggressive nature, particularly when metastases are present [3,4]. Clinical presentations are varied, and detection relies primarily on echocardiography.

A Young Man with Chest Pain

Anderson Wang, Aalap Shah – A calculous cholecystitis is a life-threatening diagnosis that is more commonly associated with ill patients in the ICU. We present a case of acute acalculous cholecystitis (ACC) in an otherwise healthy 18-year-old man who presented to the Emergency Department (ED) with right-sided chest pain that was ultimately diagnosed with point of care ultrasound (POCUS).

A Rare Case of Hemoperitoneum Diagnosed with Point of Care Ultrasound (POCUS)

Jina Bai, Todd Cutler – A 68-year-old man presented with one week of vague abdominal symptoms and was found to have new ascites and pulmonary embolism for which a heparin drip was initiated. We report a case diagnosing hemoperitoneum with point of care ultrasound (POCUS).

Diagnosis and Treatment of a Morel-Lavallee Lesion via Point of Care Ultrasound (POCUS)

Djoser Mack, Joselyn Miller, Frank Yuan, Edison Lee, Trent She – Morel-Lavallee Lesion (MLL) is a rare diagnosis of a closed internal degloving injury that can occur with high energy trauma. The pain, soft tissue swelling, and ecchymosis that patients describe mimic many other emergent diagnoses to include compartment syndrome and fractures.

Visualizing the Real Time Reduction of Pulled Elbow Using Point of Care Ultrasound (POCUS)

David J McCreary – POCUS is a useful tool for correctly identifying pulled elbow. We believe that clinicians working in Pediatric Emergency Departments should be encouraged to embrace using it in cases which are less straightforward – either due to an atypical history or based on examination findings.

Rare Cause of Pediatric Abdominal Pain Diagnosed on Point of Care Ultrasound (POCUS)

Courtney Owens, Lindsey Chaudoin – An 11-year-old postmenarchal female presented to the pediatric emergency department (ED) with 2 days of periumbilical and right lower abdominal pain. Radiology-performed ultrasound (RADUS) did not visualize the appendix, and there was a plan for surgical consultation to decide between serial abdominal exams versus computed tomography (CT) scan.

Evaluating a Lung Abscess in a Pediatric Patient using Point of Care Ultrasound (POCUS)

Alisha Ching, Charles William Kropf – Application of ultrasound to evaluate pediatric respiratory disease in the emergency department setting is rapidly growing, particularly as we often weigh the risks of exposure to radiation with other readily available imaging modalities in the acute care setting.

Perioperative Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RA) and Gastric Point Of Care Ultrasound (POCUS)

Sivasenthil Arumugam, Hari Kalagara – Glucagon-like peptide-1 receptor agonists (GLP-1 RA) are frequently used for diabetes and weight loss management. The GLP-1 RA drugs delay gastric emptying and are a concern for increased risk of aspiration in the perioperative period. Current recommendations to hold these medications before surgery are consensus based.

POCUS Journal

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