Archives

Seven Year Old Male with Tricuspid Endocarditis

Omar Damji, BHSc, MSc, MD; Russ A. Lam, BSc, MD; Mark Bromley BSc, MD; Melanie Willimann BSc, MD – Pediatric endocarditis, a rare entity in developed countries, remains a challenging diagnosis to make in children. We present an uncommon etiology of shortness of breath on exertion (SOBOE) in a 7-year-old male presenting with two weeks of nocturnal fever, malaise and fatigue following a viral prodrome.

Diagnosing Early Cardiac Tamponade in Patient with JAK2+ Myeloproliferative Syndrome with Point of Care Ultrasound

Evan Cameron, MD; Lawrence Istrail, MD – Herein is a case of POCUS diagnosing life threatening cardiac tamponade in a patient with a new diagnosis of JAK2+ myeloproliferative syndrome prompting urgent intervention with pericardiocentesis. This case illustrates the utility of POCUS through its ability to serve as a quick diagnostic tool that can hasten intervention for potentially life-threatening conditions.

Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

Stephen Lammers, MD; Christopher Hong, MD; Jared Tepper, MD; Christy Moore, BS, RDMS, RVT; Cameron Baston, MD, MSCE; Cara D. Dolin, MD, MPH – Complications of fibroids in pregnancy are well known, including postpartum hemorrhage, labor dystocia, and cesarean delivery. Outside of pregnancy and labor, the rare occurrence of spontaneous fibroid rupture has been documented.

The PEGASUS Games: Physical Exam, Gross Anatomy, phySiology and UltraSound Games for Preclinical Medical Education

Mary Hennekes, BS; Sarah Rahman, BA; Andrea Schlosser, BBA; Anne Drake, BA; Tessa Nelson, BS; Emily Hoffberg, BS; Robert A. Jones, DO, FACEP – Gamification engages learners and has successfully taught point-of-care ultrasound (POCUS) to residents and fellows. Yet ultrasound (US) curricula in undergraduate medical education remains limited. This study assessed a gamification model integrating US, anatomy, physiology, physical examination, and radiology created for preclinical medical students as compared with traditional didactic education.

Focused Cardiac Ultrasound Curriculum for Internal Medicine Residents

Dipika Gopal, MD; Cameron Baston, MD; Srinath Adusumalli, MD, MSHP; Dinesh Jagasia, MD; Stuart Prenner, MD – : Focused cardiac ultrasound (FCU) is a safe and efficient diagnostic intervention for internal medicine physicians. FCU is a highly teachable skill, but is used in routine cardiac assessment in only 20% of surveyed training programs. We developed an FCU curriculum for internal medicine residents and an assessment tool to evaluate the impact of the curriculum on trainee knowledge and confidence.

Surgeon Performed Ultrasound for Diagnosis of Intussusception – A Pilot Study

Soundappan S.V. Soundappan, MBBS, M.Ch (Paed Surg), FRACS (Paed); Albert Lam, MBBS, FRACR, DDU, PhD; Lawrence Lam, MPH, PhD; Danny Cass, MBBS, FRACS (Paed), PhD; Andrew J.A. Holland, MBBS, FRACS(Paed), PhD; Jonathan Karpelowsky, MBBCH, FRACS (Paed), PhD – Intussusception is an abdominal emergency that affects all ages but infants most commonly and can cause significant morbidity and mortality if missed. Clinical presentation of intussusception can be varied and non-specific and imaging (primarily ultrasound) is usually performed to confirm diagnosis. Abdominal radiographs may be non-specific and contrast studies involve ionising radiation. Ultrasound (US) has evolved as the gold standard imaging for diagnosis because of its high accuracy.

Measurement of the Applicability of Abdominal Point-of-Care Ultrasound to the Practice of Medicine in Saudi Arabia and the Current Skill Gaps

Rajkumar Rajendram, FRCP Lond; and Mamdouh Souleymane, MD; Naveed Mahmood, FRCP Edin; Rakan Sambas, MD; Yousuf M.S. Kharal, MD – Renal, gastrointestinal, and hepatic pathology, and the resources available for their management vary internationally. Whilst abdominal point-of-care ultrasound (APOCUS) should enhance management, uptake by physicians, worldwide, has been poor. So, the aim of this study was to explore the applicability of APOCUS to medical practice in Saudi Arabia, residents’ current ability to perform APOCUS, and the skill gaps.

Point of Care Ultrasound First: An Opportunity to Improve Efficiency for Uncomplicated Pregnancy in the Emergency Department

Sara Urquhart, MA; Kendall Stevens, BS; Mariah Barnes, MD; Matthew Flannigan, DO – Research suggests emergency providers using point-of-care ultrasound (POCUS) to confirm an uncomplicated intrauterine pregnancy (IUP) can decrease emergency department (ED) length of stay (LOS) compared to a radiology department ultrasound (RADUS). The objective of this study was to compare the time to diagnosis and LOS between POCUS and RADUS patients.

Evaluation of Diagnostic Imaging Capacity and the Role for Point-of-Care Ultrasound (POCUS) within the Zanzibar Health System

Abiola A. Fasina MD, MSHP, DTM&H; Anthony J. Dean MD; Nova L. Panebianco MD, PMH; Frances S. Shofer PhD; Omar Ali MSEE, MSED; Mwajuma Yahya BSc; Salim Ismail MMED; Patricia C. Henwood MD – The Zanzibar Ministry of Health identified access to ultrasound (US) as a system priority due to limited diagnostic imaging capacity and consequent impact on patient care and requested a needs assessment in this regard. As a result, the objective of this study was to assess diagnostic imaging capacity focusing on ultrasound in Zanzibar, including health care providers’ (HCPs) current training, use, and barriers to implementation.